Neuroanesthesia & neurocritical care

Relationship Between Systemic and Cerebral Microdialysate Glucose in Patients With Severe Acute Brain Injury—A Retrospective Study

Acta Anaesthesiol ScandPublished Retrospective cohort study

Authors' conclusion

In this retrospective analysis of patients with severe acute brain injury undergoing intracerebral microdialysis, changes in systemic glucose contributed to changes in CMD-glucose with no relation to functional outcome.

Study context

Population
Patients with severe acute brain injury (severe traumatic brain injury (TBI) or aneurysmal subarachnoid haemorrhage (SAH)) undergoing cerebral microdialysis
Participants
133 patients
Exposure
SAH vs TBI
  • SAHn = 75
  • TBIn = 58
Outcome
Relationship between systemic glucose and microdialysate glucose (CMD-glucose)

Main finding

As reported in the abstract

CMD-glucose variation explained by systemic glucose (R2)

Observational data: associations, not effects.

Further findings

Increase in CMD-glucose per 1 mmol/L increase in systemic glucose (linear regression)

Time from ictus

Both systemic and CMD-glucose decreased with increasing time from ictus

Disease severity (admission GCS) and functional outcome (modified Rankin Scale) · 6 months

No association between CMD-glucose and disease severity or functional outcome

Original publication

Relationship Between Systemic and Cerebral Microdialysate Glucose in Patients With Severe Acute Brain Injury—A Retrospective Study. Acta Anaesthesiol Scand. Published 17 June 2025. doi:10.1111/aas.70078

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