Article Sidebar
Views Full article: 127
Influence of hyperglycemia on the course and outcomes of severe burn patients
Main Article Content
Abstract
This study evaluated the change and influence of blood glucose levels on the progress and treatment results of adult patients with severe burns. The results showed that hyperglycemia was recorded in 62.13% of patients on hospital admission and that was 68.19% on the 21st-day after-burn. On average, 79.04% of patients had hyperglycemia with an average glucose concentration of 8.02 ± 1.80mmol/l. Only 22.58% of patients had controlled blood glucose levels. There were no patients who died in the group of patients with well-controlled glucose levels, while 22.92% of patients died in the remaining group (p < 0.05).
Article Details
Keywords
Severe burn, blood glucose level, outcomes
References
2. Mosier M.J., Gibran N.S. (2010); Management of the patient with thermal injury. ACS Surgery, 8 (10), 1-15.
3. Tuggle D.W., Kuhn M.A., Jones S.K., et al. (2008); Hyperglycemia and infections in pediatric trauma patients. The American Surgeon, 74(3), 195-198.
4. Black C.T., Hennessey P.J., Andrassy R.J. (1990); Short-term hyperglycemia depresses immunity through nonenzymatic glycosylation of circulating immunoglobulin Journal of Trauma and Acute Care Surgery, 30(7), 830-833.
5. Rajaei M., Bosarge P.L., Griffin R. L., et al. (2020); Impact of glycemic control on risk of mortality and complications in trauma patients. Shock, 54(1), 30-34.
6. Ray J.J., Meizoso J.P., Allen C.J., et al. (2017); Admission hyperglycemia predicts infectious complications after burns. Journal of Burn Care & Research, 38(2), 85-89.
7. Holm C., Hörbrand F., Mayr M. et al. (2004); Acute hyperglycemia following thermal injury: friend or foe? Resuscitation, 60(1), 71-77.
8. Gore D.C., Chinkes D., Heggers J., et al. (2001); Association of hyperglycemia with increased mortality after severe burn injury. Journal of Trauma and Acute Care Surgery, 51(3), 540-544.