Serum glucose variability and brain-serum glucose ratio predict metabolic distress and mortality after severe brain injury
نویسندگان
چکیده
منابع مشابه
Optimum serum glucose levels for patients with severe traumatic brain injury
Tight glucose control during the acute care of patients with severe traumatic brain injury has recently been advocated based on experimental concerns about deleterious effects of presenting the injured brain with a high glucose load, however, there is little or no clinical evidence that hyperglycemia worsens neurologic injury. The majority of the clinical studies of tight glucose control find t...
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INTRODUCTION Cerebral glucose metabolism and energy production are affected by serum glucose levels. Systemic glucose variability has been shown to be associated with poor outcome in critically ill patients. The objective of this study was to assess whether glucose variability is associated with cerebral metabolic distress and outcome after subarachnoid hemorrhage. METHODS A total of 28 conse...
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BACKGROUND Hyperglycemia is associated with increased mortality in the severely injured; intensive insulin protocols reduce mortality, improve wound healing, and decrease susceptibility to infection. High glucose variability creates challenges to glycemic control and may be a marker of poor outcome. We wondered whether glycemic variability alone might identify patients at higher risk of death. ...
متن کاملeffect of posttraumatic serum thyroid hormone levels on severity and mortality of patients with severe traumatic brain injury
traumatic brain injury (tbi) is an important cause of death and disability in young adults ,and may lead to physical disabilities and long-term cognitive, behavioral psychological and social defects. there is a lack of definite result about the effect of thyroid hormones after traumatic brain injury in the severity and no data about their effect on mortality of the injury. the aim of this study...
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Background: Cognitive impairment is a common complication of Severe Traumatic Brain Injury (STBI). One of cognitive problems following STBI is impaired executive functions which involve high-level cognitive processes and their dysfunction can lead to reduced quality of life. Objective: This study aims to investigate the cognitive impairment in men with STBI compared to healthy men. Materials...
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ژورنال
عنوان ژورنال: Critical Care
سال: 2009
ISSN: 1364-8535
DOI: 10.1186/cc7852