BACKGROUND Deranged glucose metabolism after moderate to severe trauma with either high or low concentrations of blood glucose is associated with poorer outcome. Data on prehospital blood glucose concentrations and trauma are scarce. OBJECTIVES The primary aim was to describe the relationship between traumatic shock and prehospital blood glucose concentrations. The secondary aim was to determine the additional predictive value of prehospital blood glucose concentration for traumatic shock when compared with vital parameters alone. DESIGN Retrospective analysis of the predefined, observational database of a nationwide Helicopter Emergency Medical Service (34 bases). SETTING Emergency trauma patients treated by Helicopter Emergency Medical Service between 2005 and 2013 were investigated. PATIENTS All adult trauma patients (≥18 years) with recorded blood glucose concentrations were enrolled. OUTCOMES Primary outcome: upper and lower thresholds of blood glucose concentration more commonly associated with traumatic shock. Secondary outcome: additional predictive value of prehospital blood glucose concentrations when compared with vital parameters alone. RESULTS Of 51 936 trauma patients, 20 177 were included. In total, 220 (1.1%) patients died on scene. Hypoglycaemia (blood glucose concentration 2.8 mmol l−1 or less) was observed in 132 (0.7%) patients, hyperglycaemia (blood glucose concentration exceeding 15 mmol l−1) was observed in 265 patients (1.3%). Blood glucose concentrations more than 10 mmol l−1 (n = 1308 (6.5%)) and 2.8 mmol l−1 or less were more common in patients with traumatic shock (P
http://ift.tt/2BNNg7W
Αρχειοθήκη ιστολογίου
-
►
2023
(256)
- ► Φεβρουαρίου (140)
- ► Ιανουαρίου (116)
-
►
2022
(1695)
- ► Δεκεμβρίου (78)
- ► Σεπτεμβρίου (142)
- ► Φεβρουαρίου (155)
-
►
2021
(5507)
- ► Δεκεμβρίου (139)
- ► Σεπτεμβρίου (333)
- ► Φεβρουαρίου (628)
-
►
2020
(1810)
- ► Δεκεμβρίου (544)
- ► Σεπτεμβρίου (32)
- ► Φεβρουαρίου (28)
-
►
2019
(7684)
- ► Δεκεμβρίου (18)
- ► Σεπτεμβρίου (53)
- ► Φεβρουαρίου (2841)
- ► Ιανουαρίου (2803)
-
►
2018
(31838)
- ► Δεκεμβρίου (2810)
- ► Σεπτεμβρίου (2870)
- ► Φεβρουαρίου (2420)
- ► Ιανουαρίου (2395)
-
▼
2017
(31987)
-
▼
Δεκεμβρίου
(2460)
-
▼
Δεκ 05
(142)
- STRO-1 confers myofibroblast transdifferentiation ...
- Accuracy of computer-assisted orthognathic surgery
- Orbital cellulitis secondary to dacryocystitis: Is...
- An epidemiological study of 270 cases of carcinoma...
- Study of interactions between odorant molecules an...
- Editorial Board
- Acquired haemophilia A complicating alemtuzumab th...
- Parotid gland: an unusual site of breast cancer me...
- Nerve abscess in pure neural leprosy mistaken for ...
- Gastric liposarcoma resected by laparoscopic total...
- Pathological ECG that seemed normal following elec...
- Lentiform fork sign due to severe metabolic acidosis
- Dysphagia lusoria presenting as epigastric pain
- Painful testicular metastasis from prostate adenoc...
- The association between cardiovascular disease and...
- Uterine rupture in a primigravid patient, an uncom...
- Sugar-based collagen membrane cross-linking increa...
- DNA damage signaling and polyploid macrophages in ...
- Immunoresolvents signaling molecules at intersecti...
- New roles and controls of mast cells
- Recent advances in inflammasome biology
- A ravenous defense: canonical and non-canonical au...
- Control of innate-like B cell location for compart...
- Heme and hemolysis in innate immunity: adding insu...
- Innate sensing of cancer's non-immunologic hallmarks
- Type I interferon-mediated autoinflammation and au...
- Negative selection, epitope mimicry and autoimmunity
- Monogenic lupus: it's all new!
- What's up in the ALPS
- Molecular control of regulatory T cell development...
- Insights into immune tolerance from AIRE deficiency
- Biomarker-guided stratification of autoimmune pati...
- Have we pushed the needle for treatment of Type 1 ...
- Hemophagocytic syndrome: primary forms and predisp...
- Leveraging blood and tissue CD4+ T cell heterogene...
- Lessons from CTLA-4 deficiency and checkpoint inhi...
- Psoriasis: a mixed autoimmune and autoinflammatory...
- Reliability of temporal bone high-resolution CT in...
- Intestinal permeability and Ménière's disease
- Symptomatic unilateral vocal fold paralysis follow...
- IL-24 is a common and specific autoantigen of IgE ...
- PGE2 suppresses human group 2 innate lymphoid cell...
- Generation of adult human T cell progenitors for i...
- Thymic stromal lymphopoietin does not activate hum...
- Modulating allergic response by engineering the ma...
- Changes in regulatory B cell levels in bone marrow...
- Polyunsaturated fatty acids in plasma at 8 years a...
- Effect of Grass Sublingual Tablet Immunotherapy is...
- Cover 1
- Brief Overview of This Month's JACI
- Advances in environmental and occupational disorde...
- Table of Contents
- Editorial Board
- Information for Readers
- News & Notes
- Continuing Medical Education Calendar
- Biomarkers in connective tissue diseases
- Biomarkers in connective tissue diseases
- Mechanisms of allergen immunotherapy for inhaled a...
- Biomarkers for severe eosinophilic asthma
- Initial intravenous immunoglobulin doses should be...
- Effect of inhaled allergens and air pollutants on ...
- Re: Pentoxifylline: a review of its use in osteora...
- Laser surface modification of decellularized extra...
- Clinical predictors for satisfaction with incus vi...
- Elevated parathyroid hormone levels after successf...
- 3D endoscopic ear surgery: a clinical pilot study
- Schluckbeschwerden bei einer Patientin mit postcri...
- Quantitative sensory response of the SCM muscle on...
- Quantitative sensory response of the SCM muscle on...
- Ink-enhanced dermoscopy is a useful tool to differ...
- Aprotinin and coronary artery bypass surgery
- Procedural sedation and analgesia for adults in Eu...
- Predictive models for acute kidney injury after ca...
- European Society of Anaesthesiology and European B...
- Safety and quality of procedural sedation and anal...
- Fibrinogen on Admission in Trauma score: Early pre...
- High versus low PEEP for abdominal surgery
- Blood glucose concentrations in prehospital trauma...
- Dobutamine and its haemodynamic effects in pleural...
- Median effective dose of intranasal dexmedetomidin...
- Reply to: alveolar recruitment manoeuvres after ca...
- Clinical signs and electroencephalographic pattern...
- Reply to: predictive models for acute kidney injur...
- Estimating and reporting error rates, and detectin...
- Reply to: high versus low positive end-expiratory ...
- Reply to: estimating and reporting rates, and dete...
- Reply to: aprotinin and coronary artery bypass sur...
- Alveolar recruitment manoeuvres after cardiac surgery
- Reply to: dobutamine and its haemodynamic effects ...
- The perioperative significance of systemic arteria...
- Perioperative pulmonary thromboembolism: current c...
- Surgery and discontinuation of angiotensin convert...
- Drug-induced sleep endoscopy: from obscure techniq...
- Eighth Edition of the UICC Classification of Malig...
- Lacrimal Caruncle Nevus with Papilloma
- International Forum of Allergy & Rhinology 2017 Re...
- Issue Information
- Epacadostat + Pembro for Melanoma: Beneficial, Wel...
- Medikamentöse Therapie des Nebennierenkarzinoms
-
▼
Δεκ 05
(142)
- ► Σεπτεμβρίου (2605)
- ► Φεβρουαρίου (2785)
- ► Ιανουαρίου (2830)
-
▼
Δεκεμβρίου
(2460)
-
►
2016
(5308)
- ► Δεκεμβρίου (2118)
- ► Σεπτεμβρίου (877)
- ► Φεβρουαρίου (41)
- ► Ιανουαρίου (39)
Αλέξανδρος Γ. Σφακιανάκης
ΩτοΡινοΛαρυγγολόγος
Αναπαύσεως 5
Άγιος Νικόλαος Κρήτη 72100
2841026182
6032607174
Εγγραφή σε:
Σχόλια ανάρτησης (Atom)
Δεν υπάρχουν σχόλια:
Δημοσίευση σχολίου