Perioperative hyperglycemia: an unmet need within a surgical site infection bundle
| Autor: | A J Senagore, K. You, S. K. Abbas, S. B. Yelika, Roberto Bergamaschi, Mahir Gachabayov |
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| Rok vydání: | 2018 |
| Předmět: |
Blood Glucose
Male medicine.medical_specialty Multivariate analysis Colon medicine.medical_treatment Stress hyperglycemia 03 medical and health sciences 0302 clinical medicine Stress Physiological Internal medicine Diabetes Mellitus Prevalence Clinical endpoint medicine Humans Surgical Wound Infection Carbohydrate loading 030212 general & internal medicine Perioperative Period Digestive System Surgical Procedures Aged Retrospective Studies Chemotherapy business.industry Incidence Rectum Gastroenterology Perioperative Middle Aged medicine.disease Colorectal surgery Hyperglycemia 030220 oncology & carcinogenesis Female Surgery business Patient Care Bundles Abdominal surgery |
| Zdroj: | Techniques in Coloproctology. 22:201-207 |
| ISSN: | 1128-045X 1123-6337 |
| DOI: | 10.1007/s10151-018-1769-2 |
| Popis: | The aim of this study was to determine whether perioperative stress hyperglycemia is correlated with surgical site infection (SSI) rates in non-diabetes mellitus (DM) patients undergoing elective colorectal resections within an SSI bundle. American College of Surgeons National Surgical Quality Improvement Program data of patients treated at a single institution in 2006–2012 were supplemented by institutional review board-approved chart review. A multifactorial SSI bundle was implemented in 2009 without changing the preoperative 8-h nil per os, and in the absence of either a carbohydrate loading strategy or hyperglycemic management protocol. Hyperglycemia was defined as blood glucose level > 140 mg/dL. The primary endpoint was SSI defined by the Centers for Disease Control National Nosocomial Infections Surveillance. Of 690 patients included, 112 (16.2%) had pre-existing DM. Overall SSI rates were significantly higher in DM patients as compared to non-DM patients (28.7 vs. 22.3%, p = 0.042). Postoperative hyperglycemia was more frequently seen in non-DM patients (46 vs. 42.9%). The SSI bundle reduced SSI rates (17 vs. 29.3%, p |
| Databáze: | OpenAIRE |
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