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Journal of the Korean Academy of Rehabilitation Medicine 2001;25(4):572-578.
The Relationship between Hyperglycemia and Neurologic, Functional Outcome with Traumatic Brain Injury.
Choi, Seung Ho , Yoon, Joon Shik , Kim, Chang Hwan
Department of Rehabilitation Medicine, Inha Uninversity College of Medicine.
외상성 뇌손상 환자에서 초기 고혈당과 신경 및 기능적 회복의 연관성
최승호, 윤준식, 김창환
인하대학교 의과대학 재활의학교실
Abstract

Objective
Traumatic brain injury is related to the acute stress response, and this can be accompanied by an elevated serum glucose level. So we estimated the influence of hyperglycemia on neurologic, functional status and outcome.


Method
We studied the 139 traumatic brain injured patients who had been admitted to the department of neurosurgery from 1996 to 2000, retrospectively. We reviewed initial serum glucose level, postoperative glucose level, and Glasgow Coma Scale (GCS), Glasgow Outcome Scale (GOS). We compared these values with functional independence measure (FIM) scores. Patients were divided into two groups according to the initial serum glucose level, then we analyzed the correlation between glucose level and GCS, GOS, FIM.


Results
The correlations of early hyperglycemia with GCS, GOS, initial FIM scores were significant (p<0.01). But serum glucose levels were not correlated with plateau FIM scores (p>0.05). Patients with unfavorable neurologic outcome after 10 days from head injury had significantly high serum initial and postoperative glucose levels than those with favorable neurologic outcome (p<0.01).


Conclusion
In patients who had received rehabilitation therapy with moderate or severe head injury, early hyperglycemia were significantly correlated with initial FIM scores, GCS, GOS, but not with the plateau FIM scores.

Key Words: Traumatic brain injury, Hyperglycemia, Neurologic outcome, Functional independence measure


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