Hypoglycemia is associated with increased postburn morbidity and mortality in pediatric patients

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Study examined the prevalence of hypoglycemia after burn injury and investigated whether hypoglycemia is associated with increased post-burn morbidity and mortality. The analysis included 760 pediatric burn patients, who were stratified according the number of hypoglycemic episodes (blood glucose less than 60 milligrams per deciliter) they experienced while in the intensive care unit. Clinical outcomes and metabolic and inflammatory biomarkers were analyzed during the first 60 days after admission. Patients with one or more hypoglycemic events were matched with patients not experiencing any event using propensity score matching, and outcomes and biomarker expression were compared between groups. Results showed that 84 patients had one episode of hypoglycemia, 108 patients had two or more episodes of hypoglycemia, and 568 patients never experienced hypoglycemia. Patients with one or more hypoglycemic episodes had longer hospitalization, as well as more frequent infections, sepsis, multiple organ failure, and death. The 166 propensity score-matched patients with one or more hypoglycemic events had greater inflammatory and metabolic responses, prevalence of sepsis, multiple organ failure, and mortality than burn patients without hypoglycemic. The findings suggest that hypoglycemic episodes correlate with injury severity and inhalation injury. When adjusted for injury severity, hypoglycemia is associated with significantly higher post-burn morbidity and mortality.

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