Basal-bolus insulin therapy in postoperative inpatients with diabetes mellitus: directions for future quality-improvement initiatives

AIM: To determine variables associated with hyperglycemia and insulin therapy in postoperative inpatients with diabetes mellitus following a quality-improvement initiative. MATERIALS & METHODS: Patients with diabetes mellitus following an elective surgical procedure (n = 782; 877 surgical proced...

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Detalles Bibliográficos
Autores principales: Cook, Curtiss B, Apsey, Heidi A, Glasgow, Amy E, Castro, Janna C, Habermann, Elizabeth B, Schlinkert, Richard T
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Future Science Ltd 2017
Materias:
Research Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5729596/
https://www.ncbi.nlm.nih.gov/pubmed/29255628
http://dx.doi.org/10.4155/fsoa-2017-0099
Descripción
Sumario:AIM: To determine variables associated with hyperglycemia and insulin therapy in postoperative inpatients with diabetes mellitus following a quality-improvement initiative. MATERIALS & METHODS: Patients with diabetes mellitus following an elective surgical procedure (n = 782; 877 surgical procedures) were selected. RESULTS: Age, hemoglobin A(1c) corticosteroids, insulin therapy and year of surgery were associated (p < 0.01) with hyperglycemia. Hemoglobin A(1c), hyperglycemia, case mix index and corticosteroids were associated (p ≤ 0.03) with insulin therapy. Hyperglycemia and use of insulin varied by surgical specialty. CONCLUSION: Data could be used to modify current treatment algorithms. Variations in hyperglycemia and insulin use by surgical specialty require further investigation.

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