Higher Mortality in Trauma Patients Is Associated with Stress-Induced Hyperglycemia, but Not Diabetic Hyperglycemia: A Cross-Sectional Analysis Based on a Propensity-Score Matching Approach

Cheng‐Shyuan Rau; Shao‐Chun Wu; Yi‐Chun Chen; Peng‐Chen Chien; Hsiao-Yun Hsieh; Pao‐Jen Kuo; Ching‐Hua Hsieh

doi:10.3390/ijerph14101161

September 30, 2017International Journal of Environmental Research and Public HealthOpen Access

Higher Mortality in Trauma Patients Is Associated with Stress-Induced Hyperglycemia, but Not Diabetic Hyperglycemia: A Cross-Sectional Analysis Based on a Propensity-Score Matching Approach

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Key Points

To determine whether increased mortality in hyperglycemic trauma patients is associated specifically with stress-induced hyperglycemia or pre-existing diabetic hyperglycemia.
Conducted a cross-sectional analysis using propensity-score matching to evaluate trauma patients presenting with hyperglycemia.
Controlled for key confounders including age, sex, pre-existing comorbidities, and Injury Severity Score (ISS).
Stress-induced hyperglycemia was significantly associated with worse mortality outcomes after adjusting for baseline characteristics and trauma severity.
Diabetic hyperglycemia showed no independent association with increased mortality in trauma patients.

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Implication

Cross-sectional analysis finds higher mortality tied to stress-induced but not diabetic hyperglycemia in trauma patients, suggesting acute metabolic stress drives fatal outcomes.

Abstract

Although there were worse mortality outcomes among trauma patients presenting with hyperglycemia, this effect was only seen in patients with SIH, but not DH when controlling for age, sex, pre-existed co-morbidities, and ISS.

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Rau et al. (2017) studied this question.

synapsesocial.com/papers/6a03e4018235fcdee82b353d https://doi.org/10.3390/ijerph14101161

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Higher Mortality in Trauma Patients Is Associated with Stress-Induced Hyperglycemia, but Not Diabetic Hyperglycemia: A Cross-Sectional Analysis Based on a Propensity-Score Matching Approach

Key Points

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

Higher Mortality in Trauma Patients Is Associated with Stress-Induced Hyperglycemia, but Not Diabetic Hyperglycemia: A Cross-Sectional Analysis Based on a Propensity-Score Matching Approach

Key Points

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

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