The impact of diabetes on outcome in traumatically injured patients: an analysis of the National Trauma Data Bank.


BACKGROUND:Studies on stress hyperglycemia in trauma patients have largely ignored diabetes, a potential confounder. The purpose of this study was to assess the relationship between diabetes and outcome in trauma patients. METHODS:Data were obtained from the National Trauma Data Bank (version 4.0). The primary outcome measures were mortality and infections. Age, injury severity, and comorbidities were analyzed as independent variables using logistic regression. RESULTS:A total of 343,250 patients were analyzed, of whom 2.7% were diabetic. On multivariate analysis, insulin-dependent diabetes was an independent although weak predictor of infectious morbidity and intensive care unit length of stay. However, diabetes was not associated with mortality or hospital length of stay. Age and injury severity were the main predictors for all outcome measures. CONCLUSIONS:Diabetes was an independent, although weak, risk factor for infectious complications in trauma patients. Age and injury severity were the most important predictors of outcome.


Am J Surg


Kao LS,Todd SR,Moore FA




Has Abstract


2006-12-01 00:00:00














  • Laryngeal involvement by differentiated thyroid carcinoma.

    abstract:BACKGROUND:Invasion of the larynx by differentiated thyroid gland carcinoma is uncommon but causes serious morbidity and mortality when present. METHODS:The clinicopathologic characteristics of 5 patients in which a total laryngectomy had to be performed for differentiated thyroid carcinoma are analyzed. Special refer...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Zbären P,Nuyens M,Thoeny HC,Stauffer E

    更新日期:2005-07-01 00:00:00

  • Single dose prophylaxis in elective cholecystectomy. A prospective, double-blind randomized study.

    abstract::We tested the effectiveness of a single dose of prophylactic antibiotic (gentamicin) in elective cholecystectomy in a double-blind, controlled randomized study. All patients recognized preoperatively as being at risk were excluded. The treatment group comprised of 102 patients received a single dose of gentamicin and ...

    journal_title:American journal of surgery

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Kaufman Z,Dinbar A

    更新日期:1986-11-01 00:00:00

  • Utility of MRCP in clinical decision making of suspected choledocholithiasis: An institutional analysis and literature review.

    abstract:BACKGROUND:The ideal treatment algorithm for suspected choledocholithiasis is not yet well defined. Imaging options include magnetic resonance cholangiopancreatography (MRCP), endoscopic retrograde cholangiopancreatography (ERCP), and intraoperative cholangiogram (IOC). MRCP is diagnostic, while the other two modalitie...

    journal_title:American journal of surgery

    pub_type: 杂志文章,评审


    authors: Badger WR,Borgert AJ,Kallies KJ,Kothari SN

    更新日期:2017-08-01 00:00:00

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    journal_title:American journal of surgery

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    authors: Baba H,Maehara Y,Inutsuka S,Takeuchi H,Oshiro T,Adachi Y,Sugimachi K

    更新日期:1995-02-01 00:00:00

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    authors: Benotti PN,Hollingshead J,Mascioli EA,Bothe A Jr,Bistrian BR,Blackburn GL

    更新日期:1989-01-01 00:00:00

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    journal_title:American journal of surgery

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    更新日期:1994-02-01 00:00:00

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    pub_type: 杂志文章


    authors: Moir CR,Scudamore CH,Benny WB

    更新日期:1986-05-01 00:00:00

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    authors: Shariff FU,Deladisma AM,Menard JW,Shewokis PA,Lind DS

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    pub_type: 杂志文章


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    journal_title:American journal of surgery

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    pub_type: 临床试验,杂志文章,随机对照试验


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    authors: Sweet RL,Gall SA,Gibbs RS,Hemsell DL,Knuppel RA,Lane TW,Miller RD,Newton ER,Poindexter AN,Reguero W

    更新日期:1988-05-31 00:00:00

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    authors: Paruk S,Koenig M,Levitt S,Hardy MA

    更新日期:1976-05-01 00:00:00

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    abstract::Conventional wisdom dictates that autogenous tissue interposition be used in contaminated wounds when direct vascular repair is not feasible. Although there are few reports of successful use of PTFE grafts in grossly contaminated wounds, doubt still exists regarding the use of any prosthetic material in such wounds fo...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Shah DM,Leather RP,Corson JD,Karmody AM

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    authors: Benhaim DI,Lopchinsky R,Tartter PI

    更新日期:2000-09-01 00:00:00