Hyperglycemia Has a Stronger Relation with Outcome in Trauma Patients than in Other Critically Ill Patients

Mathijs Vogelzang, Johanna M. M. Nijboer, Iwan C. C. van der Horst, Felix Zijlstra, Henk Jan ten Duis, Maarten W. N. Nijsten
2006 Journal of Trauma  
Acute hyperglycemia is associated with adverse outcome in critically ill patients. Glucose control with insulin improves outcome in surgical intensive care unit (SICU) patients, but the effect in trauma patients is unknown. We investigated hyperglycemia and outcome in SICU patients with and without trauma. Methods A 12-year retrospective study was performed at a 12-bed SICU. We collected the reason for admission, Injury Severity Scores (ISS), and 30-day mortality rates. Glucose measurements
more » ... se measurements were used to calculate the hyperglycemic index (HGI), a measure indicative of overall hyperglycemia during the entire SICU stay.
doi:10.1097/01.ta.0000195715.63978.80 pmid:16612311 fatcat:j3sil7tiyrcbnfxsqdwpiul2o4