Palanisamy S, Gunalan , Mahendran J. V
BACKGROUND Traumatic brain injury (TBI) is the most common cause of mortality in the young- and middle-aged group in developing countries. As there is an increasing incident of type 2 diabetes mellitus, it plays an important role in any disease outcome. MATERIALS AND METHODS It is a comparative study of two groups of patients who had sustained traumatic brain injury with blood sugar of >150 mg/dL and <150 mg/dL. Each group had 30 patients. They were followed for 14 days with respect to outcome and complications. RESULTS The mean age was 36 ± 12 years, the mean GCS on admission was 9 ± 2 & the mean blood glucose level in the first 24 hours was 132 ± 52 mg/dL. GCS improvement was defective and mortality higher in blood sugar more than 150 mg/dL group when compared to the other. CONCLUSION In our study to determine the effect of hyperglycaemia in traumatic brain injury, there was a significant difference with reference to outcome of patient with hyperglycaemia at admission, with improvement with regard to GCS, increased length of stay and increased mortality rate when compared to the patients with normal glucose level.
