Ayşen ÇAKIR, Vahide Aslıhan DURAK, M Özgür TAŞKAPILIOĞLU, Güven ÖZKAYA, Nevzat KAHVECİ

Çocukluk Çağı Kafa Travmalarında Kan Glukoz Düzeyi ve Vücut Sıcaklığının Prognoza Etkisi

Pediatrik kafa travması çocukluk çağının önemli mortalite ve morbidite sebepleri arasındadır. Acil servise başvuru anındaki parametrelere göre prognozun önceden bilinmesi tedavi ve yakın takip için uyarıcı olabilecektir. Bu çalışmada başvuru anındaki kan glukoz değerinin ve vücut sıcaklığının prognoz üzerine etkisinin Modifiye Rankin Skoru ile değerlendirilmesi planlanmıştır. Çalışmada Bursa Uludağ Üniversitesi Tıp Fakültesi Acil Servisi’ne başvuran 0-16 yaş aralığındaki 301 olgu incelenmiştir. Başvuru anındaki Glasgow Koma Skoru ile kan glukoz değeri arasında ters yönde korelasyon saptanmıştır. Ayrıca Glasgow Koma Skoru ile Modifiye Rankin Skoru arasında da ters yönde korelasyon gözlenirken, kan glukoz değeri ile Modifiye Rankin Skoru arasında pozitif yönde zayıf korelasyon saptanmıştır. Başvuru anında saptanan hiperterminin prognoz üzerine etkisinin olmadığı gözlenmiştir. Bu sonuçlar başvuru anındaki Glasgow Koma Skorunun yanı sıra kan glukoz değerinin yüksekliğinin prognoz tayininde önemli olabileceğini göstermiştir.

Anahtar Kelimeler:

Pediatrik kafa travması, hiperglisemi, hipertermi, Modifiye Rankın Skoru, GKS

The Effect of Blood Glucose Level and Body Temperature on Prognosis in Pediatric Head Traumas

Pediatric head injuries is one of the most important etiological causes of mortality and morbidity in childhood. The early decision for the prognosis due to the parameters in the emergency department admission can be warning for treatment and close follow-up. The aim of this study is to evaluate the effect of blood glucose level and body temperature on prognosis at the time of admission by using the Modified Rankin Score. 301 cases between the ages of 0-16 who applied to the Bursa Uludağ University Faculty of Medicine Emergency Department were included in this study. A negative correlation was found between the Glasgow Coma Score and the blood glucose level. In addition, a negative correlation was observed between Glasgow Coma Score and Modified Rankin Score, while a weak positive correlation was found between blood glucose level and Modified Rankin Score. It was observed that the hyperthermia detected at the time of admission had no effect on the prognosis. These results showed that, the high blood glucose level may be important in determining the prognosis in addition to the Glasgow Coma Score.

Keywords:

Pediatric head trauma, hyperglycemia, hyperthermia, Modified Rankin Score, GCS,

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