Comparing Blood Sugar Levels Measured by the Glucometer in Healthy and Crushed Fingers to Predict Gangrene in Tehran, Iran
Background Crushed fingers are one of the most common reasons that patients visit the emergency centers for hand surgery, and based on the level of injury, it can cause many disabilities for patients. It is difficult to decide the treatment strategies (amputation, aggressive revascularizat...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Kashan University of Medical Sciences
2016-11-01
|
| Series: | Archives of Trauma Research |
| Online Access: |
http://archtrauma.com/?page=article&article_id=40753
|
| _version_ | 1797728285078061056 |
|---|---|
| author | Yavari Esmail Hassanpour Naghavi Ravandi Niazi |
| author_facet | Yavari Esmail Hassanpour Naghavi Ravandi Niazi |
| author_sort | Yavari |
| collection | DOAJ |
| description | Background
Crushed fingers are one of the most common reasons that patients visit the emergency centers for hand surgery, and based on the level of injury, it can cause many disabilities for patients. It is difficult to decide the treatment strategies (amputation, aggressive revascularization, immediate or delayed complex reconstruction and immediate conservative treatment) for crushed fingers.
Objectives
The current study aimed to compare the blood sugar (BS) levels measured by the glucometer in healthy and crushed fingers to predict gangrene in patients referred to 15 Khordad Hospital in Tehran, Iran.
Methods
This cohort study was conducted on 265 patients with crushed fingers referred to the emergency center of 15 Khordad hospital in Tehran, Iran, from March 2015 to March 2016. Blood glucose levels were measured by glucometer in the crushed fingers and in the finger of the opposite side at the same time and measurements were recorded. Data were analyzed using t-test and chi-square test with SPSS software version 22.
Results
The results showed that 317 crushed fingers of 265 patients were ischemic based on the color, temperature, capillary refill time and pulse oximetry and accordingly the vascular reconstruction was not possible. Of 317 crushed fingers, 61 (19.24%) became gangrene (all with sugar levels lower than 37). The mean BS levels of the amputated and non-amputated fingers were 33.5 ± 1.52 and 111.04 ± 15.27 mg/dL, respectively. Therefore, there was a significant difference in the mean BS level between the patients with amputated and non-amputated fingers (P < 0.001).
Conclusions
The lower levels of sugar in crushed fingers compared to healthy fingers can help to diagnose gangrene in crushed fingers. |
| first_indexed | 2024-03-12T11:12:48Z |
| format | Article |
| id | doaj.art-9d8a632e21e24153a00ac193a54b6cba |
| institution | Directory Open Access Journal |
| issn | 2251-953X 2251-9599 |
| language | English |
| last_indexed | 2024-03-12T11:12:48Z |
| publishDate | 2016-11-01 |
| publisher | Kashan University of Medical Sciences |
| record_format | Article |
| series | Archives of Trauma Research |
| spelling | doaj.art-9d8a632e21e24153a00ac193a54b6cba2023-09-02T02:39:17ZengKashan University of Medical SciencesArchives of Trauma Research2251-953X2251-95992016-11-016110.5812/atr.40753Comparing Blood Sugar Levels Measured by the Glucometer in Healthy and Crushed Fingers to Predict Gangrene in Tehran, IranYavariEsmail HassanpourNaghavi RavandiNiaziBackground Crushed fingers are one of the most common reasons that patients visit the emergency centers for hand surgery, and based on the level of injury, it can cause many disabilities for patients. It is difficult to decide the treatment strategies (amputation, aggressive revascularization, immediate or delayed complex reconstruction and immediate conservative treatment) for crushed fingers. Objectives The current study aimed to compare the blood sugar (BS) levels measured by the glucometer in healthy and crushed fingers to predict gangrene in patients referred to 15 Khordad Hospital in Tehran, Iran. Methods This cohort study was conducted on 265 patients with crushed fingers referred to the emergency center of 15 Khordad hospital in Tehran, Iran, from March 2015 to March 2016. Blood glucose levels were measured by glucometer in the crushed fingers and in the finger of the opposite side at the same time and measurements were recorded. Data were analyzed using t-test and chi-square test with SPSS software version 22. Results The results showed that 317 crushed fingers of 265 patients were ischemic based on the color, temperature, capillary refill time and pulse oximetry and accordingly the vascular reconstruction was not possible. Of 317 crushed fingers, 61 (19.24%) became gangrene (all with sugar levels lower than 37). The mean BS levels of the amputated and non-amputated fingers were 33.5 ± 1.52 and 111.04 ± 15.27 mg/dL, respectively. Therefore, there was a significant difference in the mean BS level between the patients with amputated and non-amputated fingers (P < 0.001). Conclusions The lower levels of sugar in crushed fingers compared to healthy fingers can help to diagnose gangrene in crushed fingers. http://archtrauma.com/?page=article&article_id=40753 |
| spellingShingle | Yavari Esmail Hassanpour Naghavi Ravandi Niazi Comparing Blood Sugar Levels Measured by the Glucometer in Healthy and Crushed Fingers to Predict Gangrene in Tehran, Iran Archives of Trauma Research |
| title | Comparing Blood Sugar Levels Measured by the Glucometer in Healthy and Crushed Fingers to Predict Gangrene in Tehran, Iran |
| title_full | Comparing Blood Sugar Levels Measured by the Glucometer in Healthy and Crushed Fingers to Predict Gangrene in Tehran, Iran |
| title_fullStr | Comparing Blood Sugar Levels Measured by the Glucometer in Healthy and Crushed Fingers to Predict Gangrene in Tehran, Iran |
| title_full_unstemmed | Comparing Blood Sugar Levels Measured by the Glucometer in Healthy and Crushed Fingers to Predict Gangrene in Tehran, Iran |
| title_short | Comparing Blood Sugar Levels Measured by the Glucometer in Healthy and Crushed Fingers to Predict Gangrene in Tehran, Iran |
| title_sort | comparing blood sugar levels measured by the glucometer in healthy and crushed fingers to predict gangrene in tehran iran |
| url |
http://archtrauma.com/?page=article&article_id=40753
|
| work_keys_str_mv | AT yavari comparingbloodsugarlevelsmeasuredbytheglucometerinhealthyandcrushedfingerstopredictgangreneintehraniran AT esmailhassanpour comparingbloodsugarlevelsmeasuredbytheglucometerinhealthyandcrushedfingerstopredictgangreneintehraniran AT naghaviravandi comparingbloodsugarlevelsmeasuredbytheglucometerinhealthyandcrushedfingerstopredictgangreneintehraniran AT niazi comparingbloodsugarlevelsmeasuredbytheglucometerinhealthyandcrushedfingerstopredictgangreneintehraniran |