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Table 1 Initial blood glucose levels in mmol/L, rate of cardiac arrest and return of spontaneous circulation (ROSC) during various initial cardiac rhythms observed in adult trauma patients (n = 18,879)

From: Association between Blood Glucose and cardiac Rhythms during pre-hospital care of Trauma Patients – a retrospective Analysis

 

Blood glucose

p

Age

p

Cardiac arrest in relation to initial glucose concentration

ROSC in relation to initial glucose concentration

≤4.20 mmol/L

4.21–10.0 mmol/L

> 10.0 mmol/L

≤4.20 mmol/L

4.21–10.0 mmol/L

> 10.0 mmol/L

Normal sinus rhythm

6.7 ± 2.1

 

50.9 ± 19.4

 

0/372 0%

56/10,080 0.6%

14/587 2.4%

43/56 76.8%

11/14 78.6%

Shockable rhythms

 Ventricular fibrillation Pulseless ventricular tachycardia

9.0 ± 3.2

< 0.0001

64.2 ± 12.9

0.0004

1/1100%

14/14100%

8/8100%

1/1100%

10/14 71.4%

7/8 87.5%

9.8 ± 1.8

0.008

58.5 ± 12.5

0.44

0

2/2100%

2/2100%

2/2100%

2/2100%

Non-shockable rhythms

 Asystole Pulseless electrical activity

6.7 ± 2.4

0.69

48.8 ± 19.4

0.21

20/20100%

113/113100%

16/16100%

4/20 20%

40/113 35.4%

8/16 50%

6.6 ± 2.3

0.45

57.2 ± 20.4

0.015

4/4100%

60/60100%

5/5100%

1/4 25%

32/60 53.3%

3/5 60%

Bradyarrhythmia

6.9 ± 2.4

0.036

58.0 ± 20.5

0.0004

3/50 6.0%

25/943 2.7%

4/79 5.1%

2/3 66.7%

17/22 77.3%

3/4 75%

Tachyarrhythmia

7.0 ± 2.4

< 0.0001

45.8 ± 19.3

< 0.0001

3/186 1.6%

88/5298 1.7%

17/475 3.6%

2/3 66.7%

70/88 79.5%

15/17 88.2%

Normofrequent Arrhythmia

8.0 ± 3.1

< 0.0001

77.3 ± 11.2

< 0.0001

0/9

1/359 0.3%

3/79 3.8%

1/1100%

3/3100%

Other

 Pacemaker ECG

8.1 ± 3.1

< 0.0001

76.5 ± 9.6

< 0.0001

1/87 1.1%

1/20 5.0%

1/1100%

1/1100%

 Myocardial infarction ECG

7.2 ± 1.2

0.051

69.1 ± 15.4

0.0027

5/11 45.5%

3/5 60%

  1. ROSC: return of spontaneous circulation; ECG: electrocardiogram, p in comparison to patients with normofrequent sinus rhythm