1. The prevalence of hyperglycemia and its association with perioperative outcomes in gynecologic surgery: a retrospective cohort study
- Author
-
Katherine F. Chaves, Joseph R. Panza, Mutiya A. Olorunfemi, Christine M. Helou, Annie N. Apple, Zhiguo Zhao, Laura L. Sorabella, Susan D. Dumas, Rony A. Adam, and Lauren S. Prescott
- Subjects
Complications ,Diabetes ,Gynecologic surgery ,Hyperglycemia ,Surgery ,RD1-811 - Abstract
Abstract Background Preoperative hyperglycemia has been associated with perioperative morbidity in general surgery patients. Additionally, preoperative hyperglycemia may indicate underlying impaired glucose metabolism. Thus, identification of preoperative hyperglycemia may provide an opportunity to mitigate both short-term surgical and long-term health risk. We aimed to study this phenomenon specifically in the gynecologic surgery population. Specifically, we aimed to evaluate the association between preoperative hyperglycemia and perioperative complications in gynecologic surgery patients and to characterize adherence to diabetes screening guidelines. Methods This retrospective cohort study included 913 women undergoing major gynecologic surgery on an enhanced recovery pathway from January 2018 to July 2019. The main exposure was day of surgery glucose ≥ 140 g/dL. Multivariate regression identified risk factors for hyperglycemia and composite and wound-specific complications. Results Sixty-seven (7.3%) patients were hyperglycemic. Diabetes (aOR 24.0, 95% CI 12.3–46.9, P
- Published
- 2023
- Full Text
- View/download PDF