Figure 3.

Rising blood glucose levels parallel to injury severity and hemorrhage in splenic injuries. Outliers of very high blood glucose levels in less severe injuries (AAST I-III) were found in patients with diabetes mellitus disease or severe co-injuries (AIS 4–6) (a–c). In patients without severe co-injuries and without diabetes mellitus (d), the effect of injury severity and hemorrhage on blood glucose levels was demonstrated more clearly, meaning the greater the severity of injury and the hemorrhage extent, the higher the stress hyperglycemia including most severe splenic injuries (AAST V). AAST: American Association for the Surgery of Trauma [27,28]; AIS: Abbreviated Injury Scale [43].