Blood Glucose Levels May Aid the Decision for CT Scan in Minor Head Trauma

Traumatic brain injury has been associated with increased blood glucose levels. In the present study, we set out to investigate if blood glucose level in mild head trauma could predict the need for CT. One hundred fifty-nine patients with minor TBI (GCS 13-15) and a mean age of 44.8 ± 23.8 years wer...

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Autores principales: Alexiou, George A., Sotiropoulos, Athanasios, Lianos, Georgios D., Zigouris, Andreas, Metaxas, Dimitrios, Nasios, Anastasios, Michos, Evaggelos, Mitsis, Michail, Pachatouridis, Dimitrios, Voulgaris, Spyridon
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2019
Materias:
Research Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6481103/
https://www.ncbi.nlm.nih.gov/pubmed/31093304
http://dx.doi.org/10.1155/2019/1065254
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author Alexiou, George A.
Sotiropoulos, Athanasios
Lianos, Georgios D.
Zigouris, Andreas
Metaxas, Dimitrios
Nasios, Anastasios
Michos, Evaggelos
Mitsis, Michail
Pachatouridis, Dimitrios
Voulgaris, Spyridon
author_facet Alexiou, George A.
Sotiropoulos, Athanasios
Lianos, Georgios D.
Zigouris, Andreas
Metaxas, Dimitrios
Nasios, Anastasios
Michos, Evaggelos
Mitsis, Michail
Pachatouridis, Dimitrios
Voulgaris, Spyridon
author_sort Alexiou, George A.
collection PubMed
description Traumatic brain injury has been associated with increased blood glucose levels. In the present study, we set out to investigate if blood glucose level in mild head trauma could predict the need for CT. One hundred fifty-nine patients with minor TBI (GCS 13-15) and a mean age of 44.8 ± 23.8 years were included in the study. The most common mechanism of trauma was falls. Patients with positive CT findings had significantly higher glucose levels than patients with negative CT findings. Using ROC curve analysis, serum glucose levels higher than 120 mg dl(−1) were the optimal cutoff value for the detection of patients with positive CT findings with a sensitivity of 74.4% and a specificity of 90.7%. Serum glucose level evaluation at presentation in the emergency department may aid CT decision-making in mild TBI.
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spelling pubmed-64811032019-05-15 Blood Glucose Levels May Aid the Decision for CT Scan in Minor Head Trauma Alexiou, George A. Sotiropoulos, Athanasios Lianos, Georgios D. Zigouris, Andreas Metaxas, Dimitrios Nasios, Anastasios Michos, Evaggelos Mitsis, Michail Pachatouridis, Dimitrios Voulgaris, Spyridon Dis Markers Research Article Traumatic brain injury has been associated with increased blood glucose levels. In the present study, we set out to investigate if blood glucose level in mild head trauma could predict the need for CT. One hundred fifty-nine patients with minor TBI (GCS 13-15) and a mean age of 44.8 ± 23.8 years were included in the study. The most common mechanism of trauma was falls. Patients with positive CT findings had significantly higher glucose levels than patients with negative CT findings. Using ROC curve analysis, serum glucose levels higher than 120 mg dl(−1) were the optimal cutoff value for the detection of patients with positive CT findings with a sensitivity of 74.4% and a specificity of 90.7%. Serum glucose level evaluation at presentation in the emergency department may aid CT decision-making in mild TBI. Hindawi 2019-04-09 /pmc/articles/PMC6481103/ /pubmed/31093304 http://dx.doi.org/10.1155/2019/1065254 Text en Copyright © 2019 George A. Alexiou et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Alexiou, George A.
Sotiropoulos, Athanasios
Lianos, Georgios D.
Zigouris, Andreas
Metaxas, Dimitrios
Nasios, Anastasios
Michos, Evaggelos
Mitsis, Michail
Pachatouridis, Dimitrios
Voulgaris, Spyridon
Blood Glucose Levels May Aid the Decision for CT Scan in Minor Head Trauma
title Blood Glucose Levels May Aid the Decision for CT Scan in Minor Head Trauma
title_full Blood Glucose Levels May Aid the Decision for CT Scan in Minor Head Trauma
title_fullStr Blood Glucose Levels May Aid the Decision for CT Scan in Minor Head Trauma
title_full_unstemmed Blood Glucose Levels May Aid the Decision for CT Scan in Minor Head Trauma
title_short Blood Glucose Levels May Aid the Decision for CT Scan in Minor Head Trauma
title_sort blood glucose levels may aid the decision for ct scan in minor head trauma
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6481103/
https://www.ncbi.nlm.nih.gov/pubmed/31093304
http://dx.doi.org/10.1155/2019/1065254
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