Perioperative hyperglycemia and risk of adverse events among patients with and without diabetes
Meera Kotagal,Rebecca Gaston Symons,Irl B. Hirsch,Guillermo E. Umpierrez,E. Patchen Dellinger,Ellen T. Farrokhi,David R. Flum +6 more
TLDR
For NDM patients, but not DM patients, the risk of adverse events was linked to hyperglycemia, and underlying this paradoxical effect may be the underuse of insulin, but also that hyper glycemia indicates higher levels of stress in NDM Patients than in DM patients.Abstract:
Objective:To study the association between diabetes status, perioperative hyperglycemia, and adverse events in a statewide surgical cohortBackground:Perioperative hyperglycemia may increase the risk of adverse events more significantly in patients without diabetes (NDM) than in those with diabetesread more
Citations
More filters
Journal ArticleDOI
American College of Surgeons and Surgical Infection Society: Surgical Site Infection Guidelines, 2016 Update
Kristen A. Ban,Kristen A. Ban,Joseph P. Minei,Christine Laronga,Brian G. Harbrecht,Eric H. Jensen,Donald E. Fry,Kamal M.F. Itani,E. Patchen Dellinger,Clifford Y. Ko,Clifford Y. Ko,Therese M. Duane +11 more
TL;DR: This data indicates that pre-emptive surgery is a viable option for the treatment of deep vein thrombosis in women with pre-operative indications and this work’s results support this view.
BookDOI
Global Guidelines for the Prevention of Surgical Site Infection
Benedetta Allegranzi,Peter Bischoff,Zeynep Kubilay,Stijn W. de Jonge,Bassim Zayed,Rosemary Sudan,Thomas Allen,Jose Luis Garnica Carreno,Joseph S. Solomkin,Matthias Egger,Marja A. Boermeester,Jan Kluytmans,Jianan Ren,Xavier Guirao,Petra Gastmeier,Didier Pittet +15 more
TL;DR: New guidelines for reducing health care associated infections related to surgery include 29 concrete recommendations distilled by 20 of the world’s leading experts from 26 reviews of the latest evidence to address the increasing burden of health careassociated infections on both patients and health care systems globally.
Journal ArticleDOI
New WHO recommendations on intraoperative and postoperative measures for surgical site infection prevention: an evidence-based global perspective
Benedetta Allegranzi,Bassim Zayed,Peter Bischoff,N Zeynep Kubilay,Stijn W. de Jonge,Fleur E. E. de Vries,Stacey M Gomes,Sarah L. Gans,Elon D. Wallert,Xiuwen Wu,Mohamed Abbas,Marja A. Boermeester,E. Patchen Dellinger,Matthias Egger,Petra Gastmeier,Xavier Guirao,Jianan Ren,Didier Pittet,Joseph S. Solomkin +18 more
TL;DR: In this article, the authors developed evidence-based and expert consensus-based recommendations on the basis of an extensive list of preventive measures for the prevention of surgical site infections (SSIs).
Journal ArticleDOI
Guidelines for pre- and intra-operative care in gynecologic/oncology surgery: Enhanced Recovery After Surgery (ERAS®) Society recommendations — Part I
Gregg Nelson,Alon D. Altman,Alpa M. Nick,Larissa A. Meyer,Pedro T. Ramirez,Chahin Achtari,J. Antrobus,Jeffrey Huang,Michael J. Scott,Lena Wijk,N. Acheson,Olle Ljungqvist,Sean C. Dowdy +12 more
TL;DR: This research presents a meta-analyses of the immune system’s response to infectious disease and its role in promoting social and economic well-being in eight countries over a 25-year period.
Journal ArticleDOI
Clinical practice guidelines for the perioperative nutrition, metabolic, and nonsurgical support of patients undergoing bariatric procedures – 2019 update: cosponsored by american association of clinical endocrinologists/american college of endocrinology, the obesity society, american society for metabolic & bariatric surgery, obesity medicine association, and american society of anesthesiologists*
Jeffrey I. Mechanick,Caroline M. Apovian,Stacy A. Brethauer,W. Timothy Garvey,Aaron M. Joffe,Julie Kim,Robert F. Kushner,Richard Lindquist,Rachel Pessah-Pollack,Jennifer Seger,Richard D. Urman,Stephanie Adams,John B. Cleek,Riccardo Correa,M. Kathleen Figaro,Karen Flanders,Jayleen Grams,Daniel L. Hurley,Shanu N. Kothari,Michael V. Seger,Christopher D. Still +20 more
TL;DR: These updated clinical practice guidelines for bariatric procedures remain a safe and effective intervention for higher-risk patients with obesity and clinical decision-making should be evidence-based within the context of a chronic disease.
References
More filters
Journal ArticleDOI
Glucose Control Lowers the Risk of Wound Infection in Diabetics After Open Heart Operations
Kathryn J. Zerr,Anthony P. Furnary,Gary L. Grunkemeier,Stephen O. Bookin,Vivek Kanhere,Albert Starr +5 more
TL;DR: The incidence of deep wound infection in diabetic patients was reduced after implementation of a protocol to maintain mean blood glucose level less than 200 mg/dL in the immediate postoperative period.
Journal ArticleDOI
Risk factors for surgical site infection following orthopaedic spinal operations.
Margaret A. Olsen,Jeffrey J. Nepple,K. Daniel Riew,Lawrence G. Lenke,Keith H. Bridwell,Jennie Mayfield,Victoria J. Fraser +6 more
TL;DR: Diabetes was associated with the highest independent risk of spinal surgical site infection, and an elevated preoperative or postoperative serum glucose level was also independently associated with an increased risk of surgical site infections.
Journal ArticleDOI
Early postoperative glucose control predicts nosocomial infection rate in diabetic patients
James J. Pomposelli,John K. Baxter,Timothy J. Babineau,Elizabeth A. Pomfret,David F. Driscoll,R. Armour Forse,Bruce R. Bistrian +6 more
TL;DR: It is concluded that diabetic patients undergoing major cardiovascular or abdominal surgery have an increased risk of infection that is further exacerbated by early postoperative hyperglycemia and efforts to improve perioperative glucose homeostasis in diabetic patients may reduce the incidence of nosocomial infection and thereby improve outcome.
Journal ArticleDOI
Prevalence and Clinical Outcome of Hyperglycemia in the Perioperative Period in Noncardiac Surgery
Anna Frisch,Prakash Chandra,Dawn Smiley,Limin Peng,Monica Rizzo,Chelsea Gatcliffe,M. J. Hudson,Jose Mendoza,Rachel Johnson,Erica Lin,Guillermo E. Umpierrez +10 more
TL;DR: Perioperative hyperglycemia is associated with increased LOS, hospital complications, and mortality after noncardiac general surgery, and Randomized controlled trials are needed to determine whether perioperative diabetes management improves clinical outcome in non Cardiac surgery patients.
Journal ArticleDOI
Hyperinsulinemia, Hyperglycemia, and Impaired Hemostasis: The Framingham Offspring Study
James B. Meigs,Murray A. Mittleman,David M. Nathan,Geoffrey H. Tofler,Daniel E. Singer,Patricia Murphy-Sheehy,Izabela Lipinska,Ralph B. D'Agostino,Peter W.F. Wilson +8 more
TL;DR: Elevated levels of fasting insulin are associated with impaired fibrinolysis and hypercoagulability in subjects with normal glucose tolerance and excess risk for cardiovascular disease associated with hyperinsulinemia and glucose intolerance may be mediated in part by enhanced potential for acute thrombosis.
Related Papers (5)
Intensive versus conventional glucose control in critically ill patients.
Nice-Sugar Study Investigators,Dean R. Chittock,Steve Su,D. Blair,Denise Foster,Rinaldo Bellomo,Deborah J. Cook,Vinay Dhingra,Peter Dodek,Paul C. Hébert,William R. Henderson,Stephane Heritier,Daren K. Heyland,Colin McArthur,Ellen McDonald,Imogen Mitchell,Robyn Norton,J. Potter,Bruce G. Robinson,Juan J. Ronco +19 more