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

Arquivos de Neuro-Psiquiatria

José Roberto Tude Melo²  Rodolfo Casimiro Reis¹  Laudenor Pereira Lemos-júnior¹  Henrique Miguel Santos Coelho¹  Carlos Eduardo Romeu De Almeida¹  Jamary Oliveira-filho¹ 

[1] ,Federal University of Bahia Post-Graduation Program in Medicine Salvador BA ,Brazil

关键词: adolescents;    children;    head trauma;    hyperglycemia;    prevalence;    adolescentes;    crianças;    trauma craniocerebral;    hiperglicemia;    prevalência;   

DOI  :  10.1590/S0004-282X2009000500004

来源: SciELO

【 摘 要 】

OBJECTIVE: To verify the prevalence of acute hyperglycemia in children with head trauma stratified by the Glasgow coma scale (GCS). METHOD: 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. RESULTS: 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. CONCLUSION: 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.

【 授权许可】

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