Immediate postpartum glycemic control and risk of surgical site infection
| Autor: | Lauryn Gabby, Melissa Westermann, Robert C. Johnston, Tevy Tith, Deborah A. Wing, Kristina Eaton |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
medicine.medical_specialty Pregnancy in Diabetics Dehiscence 03 medical and health sciences 0302 clinical medicine Pregnancy Risk Factors Diabetes mellitus medicine Humans Surgical Wound Infection 030212 general & internal medicine Abscess Glycemic Retrospective Studies 030219 obstetrics & reproductive medicine business.industry Cesarean Section Case-control study Obstetrics and Gynecology Retrospective cohort study Puerperal Disorders medicine.disease Surgery Diabetes Mellitus Type 1 Logistic Models Diabetes Mellitus Type 2 Cellulitis Case-Control Studies Hyperglycemia Pediatrics Perinatology and Child Health Female business |
| Zdroj: | The journal of maternal-fetalneonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians. 30(3) |
| ISSN: | 1476-4954 |
| Popis: | Nearly one-third of all births in the United States in 2013 were by cesarean delivery, with 6% complicated by diabetes. The purpose of this study was to correlate immediate postoperative hyperglycemia with wound morbidity in diabetic women who underwent cesarean delivery.This retrospective case-control study was performed at UC Irvine Health and Miller Women'sChildren's Hospital Long Beach between 2009 and 2015. Subjects included women with at least Class B diabetes mellitus who underwent cesarean birth. Fasting and postprandial blood glucose levels (BGL) were recorded daily during postoperative days one through four. Outcomes included abscess formation, cellulitis, wound separation, fascial dehiscence, hospital readmission, secondary wound closure, antibiotic treatment, and a composite of the above.Outcomes were evaluated for 176 subjects. Twenty-nine experienced wound complications. Women readmitted for wound complications and those with composite morbidity experienced significantly higher mean fasting BGL, however, BGL during the immediate postoperative setting were not predictive of wound morbidity.In our cohort of diabetic women who underwent cesarean delivery, immediate postoperative hyperglycemia was not associated with wound morbidity. |
| Databáze: | OpenAIRE |
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