Association between elevated pre-operative glycosylated hemoglobin and post-operative infections after non-emergent surgery
| Autor: | I. Michael Leitman, Trung L. Tran, Joseph M. Blankush, Aron Y. Soleiman |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
endocrine system diseases business.industry Incidence (epidemiology) Patient subgroups General Medicine Glycosylated hemoglobin Infections Pre operative Surgery 03 medical and health sciences Hba1c level 0302 clinical medicine Increased risk 030220 oncology & carcinogenesis Hyperglycemia Medicine 030212 general & internal medicine Hemoglobin Post operative business Complication Original Research |
| Zdroj: | Annals of Medicine and Surgery |
| ISSN: | 2049-0801 |
| Popis: | Background A chronic state of impaired glucose metabolism affects multiple components of the immune system, possibly leading to an increased incidence of post-operative infections. Such infections increase morbidity, length of stay, and overall cost. This study evaluates the correlation between elevated pre-operative glycosylated hemoglobin (HbA1c) and post-operative infections. Study design Adult patients undergoing non-emergent procedures across all surgical subspecialties from January 2010 to July 2014 had a preoperative HbA1c measured as part of their routine pre-surgical assessment. 2200 patient charts (1100 Highlights • This study reviews the impact of pre-operative HbA1c across many specialties undergoing elective surgery. • The risk factors of post-operative infection are multiple and likely synergistic. • Elevated serum HbA1c is not independently associated with an increased risk of post-operative infection. |
| Databáze: | OpenAIRE |
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