Author(s): Melo, José Roberto Tude ; Reis, Rodolfo Casimiro ; Lemos Júnior, Laudenor Pereira ; Coelho, Henrique Miguel Santos ; Almeida, Carlos Eduardo Romeu de ; Oliveira Filho, Jamary ; Melo, José Roberto Tude ; Reis, Rodolfo Casimiro ; Lemos Júnior, Laudenor Pereira ; Coelho, Henrique Miguel Santos ; Almeida, Carlos Eduardo Romeu de ; Oliveira Filho, Jamary
Date: 2012
Origin: Oasisbr
Subject(s): Adolescents; Children; Head Trauma; Hyperglycemia; Prevalence
p.804-806
Submitted by Texeira Ana (atanateixeira@gmail.com) on 2012-05-14T12:59:59Z No. of bitstreams: 1 Melo, José Roberto Tude.pdf: 153237 bytes, checksum: 2352af83150eb84162a32aa7ed822b25 (MD5)
Made available in DSpace on 2012-05-14T12:59:59Z (GMT). No. of bitstreams: 1 Melo, José Roberto Tude.pdf: 153237 bytes, checksum: 2352af83150eb84162a32aa7ed822b25 (MD5) Previous issue date: 2009-09
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.
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