Table 1 Effects of glucose metabolism in adults and children with traumatic brain injury
From: Cerebral traumatic injury and glucose metabolism: a scoping review
Glucose level | Adults | Children |
|---|---|---|
Hyperglycemic state | ||
> 200 mg/dl in first 24 h | Increased mortality | Increased mortality |
> 160 mg/dl | Increased risk of brain hyperemia and hypoxia level | Poor neurological outcomes |
Ischemic complications | Loss of cerebral vascular reactivity | |
Increases cerebral oxygen consumption due to hypermetabolic condition | ||
Hypoglycemia | ||
< 50 mg/dl | Increase the mortality and poor neurological outcomes | Increase the mortality and poor neurological outcomes |
Increased cerebral edema due to disruption of the blood–brain barrier | Exacerbate the damage to brain tissue caused by the initial injury | |
Increased risk of seizures | ||