The effectiveness of tight glycemic control on decreasing surgical site infections and readmission rates in adult patients with diabetes undergoing cardiac surgery: A systematic review
| Autor: | Kathy Hetherington, Lyn Boreland, Jason T. Slyer, Marcia Scott-Hudson, Antoinette Frussinetty |
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| Rok vydání: | 2014 |
| Předmět: |
Pulmonary and Respiratory Medicine
Adult Blood Glucose medicine.medical_specialty medicine.medical_treatment Critical Care and Intensive Care Medicine Patient Readmission law.invention Insulin Infusion Systems law Internal medicine Diabetes mellitus medicine Diabetes Mellitus Odds Ratio Humans Hypoglycemic Agents Insulin Surgical Wound Infection Cardiac Surgical Procedures Glycemic business.industry Odds ratio Perioperative medicine.disease Intensive care unit Cardiac surgery Surgery Surgical Care Improvement Project Cardiology and Cardiovascular Medicine business |
| Zdroj: | Heartlung : the journal of critical care. 44(5) |
| ISSN: | 1527-3288 |
| Popis: | Objective A systematic review of the effects of tight glycemic control with a continuous insulin infusion to achieve blood glucose levels ≤ 200 mg/dL on surgical site infections and readmission rates in adult patients with diabetes after cardiac surgery. Methods A quantitative systematic review of the literature. Databases, including PubMed, CINAHL, EMBASE, and CENTRAL, were searched for relevant studies from database inception through August 2014. Randomized and quasi-experimental studies were included. Results A meta-analysis of ten studies demonstrated that glycemic control with a continuous insulin infusion to achieve blood glucose levels ≤ 200 mg/dL significantly reduced surgical site infection rates (odds ratio 0.35, 95% confidence interval 0.25-0.49; Z = 6.0, P Conclusions Maintaining blood glucose levels ≤ 200 mg/dL with a continuous insulin infusion in all stages of the perioperative period in cardiac surgery patients with diabetes can reduce the incidence of surgical site infections. |
| Databáze: | OpenAIRE |
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