Do preoperative glucose levels predict risk of complications in orthopaedic surgery?
Natalie KieruzelSahil SethiVivek NairJennifer Moriatis WolfJason Alexander StrelzowPublished in: European journal of orthopaedic surgery & traumatology : orthopedie traumatologie (2024)
Pre-operative blood glucose levels greater than 137 mg/dL were associated with an increase in wound complications, but not deep infections. Infection rates stratified by anatomic site and case urgency were not impacted by pre-operative glucose levels. The increased risk of poor wound healing in patients with pre-operative hyperglycemia demonstrates that day of surgery point-of-care blood glucose screening can be a useful risk stratification tool.
Keyphrases
- blood glucose
- glycemic control
- minimally invasive
- wound healing
- blood pressure
- coronary artery bypass
- surgical site infection
- risk factors
- type diabetes
- patients undergoing
- coronary artery disease
- acute coronary syndrome
- metabolic syndrome
- percutaneous coronary intervention
- oxidative stress
- atrial fibrillation
- diabetic rats