Admission preoperative glucose is predictive of morbidity and mortality in trauma patients who require immediate operative intervention

Although there have been reports in the surgical literature regarding the negative effects of preoperative hyperglycemia on outcome, the impact of elevated preoperative serum glucose levels in trauma patients is unknown. Our objectives were to determine whether preoperative hyperglycemia was associated with a greater morbidity and mortality in trauma patients who underwent surgical intervention upon admission. Prospective data was collected on 252 consecutive nondiabetic trauma patients admitted for ≥3 days who went directly to the OR from the resuscitation area. Patients were stratified by preoperative serum glucose level (