• Firooz Salehpour, Amir Mohammad Bazzazi, Javad Aghazadeh, Rahman Abbasivash, Yalda Forouhideh, Farhad Mirzaei, and Seyed Ahmad Naseri Alavi.
• Department of Neurosurgery, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
• World Neurosurg. 2016 Mar 1; 87: 132-5.

BackgroundTraumatic brain injury is a major general health concern. This study aims to evaluate a possible relationship between the serum level of glucose during admission and the outcome of patients with severe traumatic brain injury.MethodsIn this prospective study, 80 patients with severe traumatic brain injury were recruited from the emergency department of Urmia Imam Khomeini Hospital. Serum level of glucose was measured at the time of admission and its correlation was investigated with the Glasgow Coma Scale score (on admission, 24 hours, 48 hours, and 1 week later, and at discharge) and Glasgow Outcome Score. In addition, the value of admission serum glucose was compared between deceased and discharged patients.ResultsEighty patients with severe head trauma, 71 men (88%) and 9 women (11.2%) with a mean age of 31.71 ± 15.66 years, were enrolled into the study. The in-hospital mortality rate was 25% (n = 20). There was no significant correlation between serum glucose level and Glasgow Coma Scale score (at different intervals) or Glasgow Outcome Score. The mean serum level of glucose was comparable between deceased and discharged patients (186.10 ± 51.36 vs. 187.98 ± 76.03 mg/dL, respectively; P = 0.91).ConclusionsAdmission serum glucose is not a significant indicator of outcome in patients with severe head trauma.Copyright © 2016 Elsevier Inc. All rights reserved.

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