Relationship between serum glucose and injury severity score in childhood trauma

Purpose: The aim of this study was to examine the relationship between initial serum glucose and injury severity score (ISS) in children with multiple trauma. Methods: Charts from all patients 0 to 19 years of age admitted to a children's hospital in 1995 with acute multiple trauma were reviewe...

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Bibliographic Details
Published in:Journal of pediatric surgery 1999-10, Vol.34 (10), p.1494-1498
Main Authors: Pomerantz, Wendy J., Hashkes, Philip J., Succop, Paul A., Dowd, M.Denise
Format: Article
Language:English
Subjects:
Adolescent
Biological and medical sciences
Blood Glucose - analysis
Child
Child, Preschool
Female
Humans
Infant
Injury Severity Score
Male
Medical sciences
Multiple trauma
Multiple Trauma - blood
Retrospective Studies
Traumas. Diseases due to physical agents
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Summary:Purpose: The aim of this study was to examine the relationship between initial serum glucose and injury severity score (ISS) in children with multiple trauma. Methods: Charts from all patients 0 to 19 years of age admitted to a children's hospital in 1995 with acute multiple trauma were reviewed. Data collected included initial serum glucose level, heart rate (HR), systolic blood pressure (SBP), Injury Severity Score (ISS), age, gender, location of trauma, and need for intravenous fluids or epinephrine. Data were analyzed using multiple linear regression. Results: A total of 185 charts were reviewed. The mean ISS was 11.3; the mean glucose was 162.8 mg/dL. After adjusting for age, gender, HR, SBP, and administration of epinephrine or fluid bolus, a significant direct relationship between serum glucose and ISS was found ( r = 0.52, P < .01). A stronger relationship was found in children less than 2 years old ( r = 0.60, P = .04). Conclusions: A significant direct relationship exists between glucose and ISS in children with multiple trauma. High glucose values may indicate more severe injury, especially in children less than 2 years old.
ISSN:0022-3468
1531-5037
DOI:10.1016/S0022-3468(99)90111-2