Hyperglycemia in pediatric head trauma patients: A cross-sectional study

Post-Graduation Program in Medicine, Federal University of Bahia, Salvador, BA, Brazil.
Arquivos de neuro-psiquiatria (Impact Factor: 0.84). 09/2009; 67(3B):804-6. DOI: 10.1590/S0004-282X2009000500004
Source: PubMed


To verify the prevalence of acute hyperglycemia in children with head trauma stratified by the Glasgow coma scale (GCS).
A prospective cross-sectional study carried out with information from medical records of pediatric patients presenting with head injury in the emergency room of a referral emergency hospital during a one year period. We considered the cut-off value of 150 mg/dL to define hyperglycemia.
A total of 340 children were included and 60 (17.6%) had admission hyperglycemia. Hyperglycemia was present in 9% of mild head trauma cases; 30.4% of those with moderate head trauma and 49% of severe head trauma. We observed that among children with higher blood glucose levels, 85% had abnormal findings on cranial computed tomography scans.
Hyperglycemia was more prevalent in patients with severe head trauma (GCS <8), regardless if they had or not multiple traumas and in children with abnormal findings on head computed tomography scans.

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Available from: Jose Roberto Tude Melo, Jun 25, 2014
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