Evaluation of Blood Glucose and Inflammation Markers in Pediatric Head Injuries

Evaluation of Blood Glucose and Inflammation Markers in Pediatric Head Injuries

The aim of this study was to investigate the relationship between early (at the first admission to the emergency room) blood glucose, C-reactive protein (CRP) and leukocyte (WBC) levels and Glasgow Coma Scale (GCS) in patients with pediatric isolated head injury (IHI) and to reveal their effects on...

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Bibliographic Details
Published in:Eastern journal of medicine Vol. 26; no. 1; pp. 67 - 74
Main Authors: Gul, Huseyin Fatih, Simsek, Abdullah Talha, Dolanbay, Turgut, Aras, Murat, Gul, Ümit Yasar, Sahin, Levent, Celik1, Seda
Format: Journal Article
Language:English
Published: Van YYU Tip Fakultesi 01-01-2021
Subjects:
Age groups
Brain damage
Brain research
Coma
Correlation analysis
Disease
Emergency medical care
Foreign bodies
Fractures
Glucose
Head injuries
Hospitals
Intensive care
Laboratories
Mortality
Normal distribution
Patients
Pediatrics
Sports injuries
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Summary:The aim of this study was to investigate the relationship between early (at the first admission to the emergency room) blood glucose, C-reactive protein (CRP) and leukocyte (WBC) levels and Glasgow Coma Scale (GCS) in patients with pediatric isolated head injury (IHI) and to reveal their effects on prognosis in the emergency department. The data of 74 patients with IHI under the age of 18 and over the age of 2, admitted to Kars Harakani State Hospital Emergency Department between 2016 and 2019, were obtained from the hospital information system and analyzed retrospectively. It was reported that 54 of our patients were boys and 20 were girls. Concerning injury etiology, it was determined that 21.6% were exposed to head injury due to a traffic accident, 59.4% due to falling 9.5% due to battery, and the same percentage due to a foreign body hit on the head. According to the severity of brain damage, 65 patients with the GCS score above eight and 9 patients with the GCS score below and equal to eight were identified. While a significant negative correlation was found between the GCS scores and blood glucose and WBC levels of our patients, the difference between the CRP levels was found to be insignificant. In children with pediatric IHI, a negative correlation was found between increased blood glucose and WBC levels and GCS score in the early period in predicting the severity of damage in addition to computerized brain tomography (CBT), and it was associated with poor prognosis in the emergency department.
ISSN:1301-0883
1309-3886
DOI:10.5505/ejm.2021.16768