Is admission hyperglycemia as a prognostic Indicator in Head trauma?

Background: Hyperglycemia is commonly associated with hyper metabolic stress response. There has not been a study that indicates the prevalence and signicanee of admission hyperglycemic levels in general trauma patients . Objective: Our objectives were to determine whether hyperglycemia is as an indicator of outcome in Head trauma. Method & Material: In This cross-sectional study patients were enrolled randomly. Data were collected on Head trauma patients files, admitted to intensive care unit (ICU) of poursina hospital and stayed greater than 48 hours over a 1-year period. Patients were stratified by admission serum glucose level 200 > ) mg/dl , ≥200 mg/dl), age, gender, and Injury severity score (ISS). Patients with pre injury diagnosis of diabetes mellitus were excluded .Outcome was measured by hospital and ICU length of stay and mortality. Statistical analysis : Variables were analyzed with multiple linear regression models and t-test. Results: A total of 115 patients were in this study. Men accounted for the majority of study population 89/6% as compared with 10/4% women.36/5% of patients were admitted with serum glucose 200 ≤ mg/dl over the study period the hyperglycemia group had significantly greater number of mortality when adjusted for age and ISS but they hadnt significantly increased ICU and hospital length of stay in both analysis. Conclusions: We have demonstrated that admission hyperglycemia is an independent predictor of patients mortality but It is still unclear whether hyperglycemia can be the cause of more staying in hospital and ICU. A case controlled study in just trauma patients with serum glucose ≥200 mg/dl is warranted . Key words: Craniocerebral Trauma, Hyperglycemia,Inpatients