Assessment of serum glucose potassium ratio as a predictor for morbidity and mortality of blunt abdominal trauma

BACKGROUND: Our hypothesis is that glucose-potassium (GLU/K) ratio can be used to predict morbidity and mortality in the evaluation of patients with blunt abdominal trauma in emergency departments. The aim of the study is to demonstrate the effect of changes in serum GLU/K ratio on morbidity and mortality and to ensure that patient management is performed more quickly and effectively.
METHODS: The hemogram and biochemical parameters of 99 patients with isolated blunt abdominal trauma, applied to our hospital between January 2016 and January 2020, have been retrospectively reviewed. Patients were divided into two groups as non-survivors and survivors. The GLU/K ratio was calculated, and their ability to predict mortality and morbidity was statistically evaluated between the groups.
RESULTS: In the non-survivor (mortal) group; blood urea nitrogen, serum creatinine, serum GLU and GLU/K ratio were statistically higher than the living group (p<0.005). Moreover, the sensitivity and specificity of the serum GLU/K ratio were found 72.7% and 84.1% respectively.
CONCLUSION: We think that serum GLU/K ratio can have an important role in the follow-up and management of patients using it as a simple, quickly accessible, and easy predictor in evaluating patients with blunt abdominal trauma.

Künt Abdominal Travma Hastalarýnda Serum Glikoz Potasyum Oranýnýn Morbidite Ve Mortalite Ýçin Bir Öngörücü Olarak Deðerlendirilmesi

AMAÇ: Hipotezimiz acil servislerde künt abdominal travmalý hastalarýn deðerlendirilmesinde glukoz potasyum oranýn morbidite ve mortaliteyi
tahmin etmede kullanýlabileceðidir. Çalýþmanýn amacý, serum glukoz/potasyum oranýndaki deðiþikliklerin morbidite ve mortalite üzerindeki etkisinin gösterilerek hasta yönetiminin daha seri ve yeterli yapýlmasýný saðlamaktýr.
GEREÇ VE YÖNTEM: Hastanemize Ocak 2016–Ocak 2020 yýllarý arasýnda baþvuran izole künt karýn travmasý olan 99 hastanýn baþvuru anýndaki hemogram parametreleri ve biyokimsayal parametreleri geriye dönük olarak incelendi. Hastalar mortal seyreden ve sað kalanlar olarak iki gruba ayrýldý, glukoz potasyum oraný hesaplandý ve mortalite ve morbiteyi öngörmedeki yeterliliði istatiksel olarak deðerlendirildi.
BULGULAR: Mortal seyreden grupta, yaþayan gruba göre kan üre azotu, serum kreatinin, serum glukoz ve glukoz potasyum oraný istatistiksel olarak anlamlý olacak þekilde yüksekti (p<0.005). Ayrýca serum glukoz potasyum oranýn mortaliteyi ön görmede %72.7 sensitiviteye, %84.1 spesifiteye sahip olarak bulundu.
TARTIÞMA: Sonuçta, serum glukoz potasyum oranýn künt karýn travmalý hastalarý deðerlendirmede basit, hýzlý ulaþýlabilen kolay bir önbelirteç olarak kullanýlarak hastalarýn takip ve yönetiminde önemli role sahip olabileceðini düþünmekteyiz.