S. Yaguare1, K. Aguirre1, D. Proksch1, R. Garza1, E. Serrato1, K. Torres1, B. Harper1, H. Danis1, S. Mclean1, J. Gevorkian1, R. Hassler1, J. Tolan1, J. Jorgensen1, K. Samsel2, E. Michelson2, A. Tyroch1, D. Younan1 1texas tech university health sciences center el paso, Surgery, El Paso, TEXAS, USA 2texas tech university health sciences center el paso, Emergency Medicine, El Paso, TEXAS, USA
Introduction: geriatric patients have worse outcomes after trauma than younger patietns. Stress induced hyperglycemia has been associted with worse outcomes. we are seeking to identify the predictors of hyperglycemia after injury in this patient population.
Methods: after obtaining IRB approval, a retrospective review of geriatric trauma patients admitted to our hospital between January 2023 and december 2024 was conducted. data reviewed included demographics, injury severity, age, blood glucose level in the emergency department, systolic blood pressure in the emergency department. blood glucose higher than 120 was considered hyperglycemia. multivariable logistic regression was conducted, independent variables included age group (65-74, 75-84 and 85plus), injury severity, heart rate in the emergency room, co morbidities the dependent variable wa sthe presence of hyperglycemia.
Results: 456 nondiabetic geriatric trauma patients were admitted to our service during the study period. there were 153 with hyperglycemia. multivariable logistic regression analysis was conducted for the presence of hypperglycemia. injury severity score (p<.001), systolic blood pressure in the emergency department (SBP) (p=.032) and heart rate in the emergency department (p=.042) were independently predictive of the presence of hyperglycemia, while co-morbidities (=.21) and age group (p=.27) were not.
Conclusion: injury severity, heart rate and systolic blood pressure in the emergency department are independent predictors of stress induced hyperglycemia in nondiabetic geriatric trauma patients.