RELATIONSHIP BETWEEN HYPERGLYCEMIA AND PROGNOSIS
IN PATIENT WITH HEAD INJURY

Kim, Kab Teug; Lee, Jong An; Kim, Seung Yoel; Chang, In Sung; Park, Joon Seok; Park, Sang Moon; Hyun, Seok Chun; Song, Hwa Sik

J Korean Soc Emerg Med > Volume 7(2); 1996 > Article

Original Article

Journal of The Korean Society of Emergency Medicine 1996;7(2): 240-247.

RELATIONSHIP BETWEEN HYPERGLYCEMIA AND PROGNOSIS IN PATIENT WITH HEAD INJURY

Kab Teug Kim, Jong An Lee, Seung Yoel Kim, In Sung Chang, Joon Seok Park, Sang Moon Park, Seok Chun Hyun, Hwa Sik Song

Department of Emergency medicine. Dankuk University Hospital ChunAn Korea

Published online: June 30, 1996.

ABSTRACT

Severe head injury is associated with a stress response that includes hyperglycemia, which has been shown to worse outcome during cerebral ischemia To better define the relationship between head injury and hyperglycemia, admission glucose level were analyzed in 150 head injured patients from January 1995 to December 1995. Our retrospective study demonstrated a higher glucose level in patients with low Glasgow Coma Scale(GCS) score, especially at 3-5 GCS score, compared to those with high GCS scores. Also a higher glucose level was noted in patients with vegetative state and dead than in those with good recovery and moderate disability. Hyperglycernia(serum glucose level 200mg%) was associated with decreased level of consciousness and a poor outcome. We conclude that admission hyperglycemia is a significant indicator of severity of injury(p<0.001), but not significant predictor outcome from head injury. After controlling for the influence of the GCS score, glucose levels do not have an independent effect on outcome.

Key words: Head injury, Hyperglycemia, GCS, Outcome