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The Effect of Elevated A1C on Immediate Postoperative Complications: A Prospective Observational Study
IN BRIEF This study examined whether elevated A1C in patients with diabetes is associated with a higher incidence of postoperative infections and other complications. Researchers followed 50 noncardiac surgical patients for 7 postoperative days. Half of the patients had an A1C <7% and the other h...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
American Diabetes Association
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5898174/ https://www.ncbi.nlm.nih.gov/pubmed/29686451 http://dx.doi.org/10.2337/cd17-0081 |
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author | Chen, Pinxia Hallock, Katherine K. Mulvey, Christie L. Berg, Arthur S. Cherian, Verghese T. |
author_facet | Chen, Pinxia Hallock, Katherine K. Mulvey, Christie L. Berg, Arthur S. Cherian, Verghese T. |
author_sort | Chen, Pinxia |
collection | PubMed |
description | IN BRIEF This study examined whether elevated A1C in patients with diabetes is associated with a higher incidence of postoperative infections and other complications. Researchers followed 50 noncardiac surgical patients for 7 postoperative days. Half of the patients had an A1C <7% and the other half had an A1C ≥7%. The two groups were otherwise comparable except that the higher-A1C group had significantly higher pre-induction and postoperative blood glucose levels, with wider variability in the first 24 hours after surgery. During the first postoperative week, 11 patients developed complications, of whom 10 were in the higher-A1C group. Elevated A1C, unlike a single preoperative blood glucose value, may predict difficult postoperative glucose control and postsurgical complications. |
format | Online Article Text |
id | pubmed-5898174 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | American Diabetes Association |
record_format | MEDLINE/PubMed |
spelling | pubmed-58981742019-04-01 The Effect of Elevated A1C on Immediate Postoperative Complications: A Prospective Observational Study Chen, Pinxia Hallock, Katherine K. Mulvey, Christie L. Berg, Arthur S. Cherian, Verghese T. Clin Diabetes Feature Articles IN BRIEF This study examined whether elevated A1C in patients with diabetes is associated with a higher incidence of postoperative infections and other complications. Researchers followed 50 noncardiac surgical patients for 7 postoperative days. Half of the patients had an A1C <7% and the other half had an A1C ≥7%. The two groups were otherwise comparable except that the higher-A1C group had significantly higher pre-induction and postoperative blood glucose levels, with wider variability in the first 24 hours after surgery. During the first postoperative week, 11 patients developed complications, of whom 10 were in the higher-A1C group. Elevated A1C, unlike a single preoperative blood glucose value, may predict difficult postoperative glucose control and postsurgical complications. American Diabetes Association 2018-04 /pmc/articles/PMC5898174/ /pubmed/29686451 http://dx.doi.org/10.2337/cd17-0081 Text en © 2017 by the American Diabetes Association. Readers may use this article as long as the work is properly cited, the use is educational and not for profit, and the work is not altered. See http://creativecommons.org/licenses/by-nc-nd/3.0 for details. |
spellingShingle | Feature Articles Chen, Pinxia Hallock, Katherine K. Mulvey, Christie L. Berg, Arthur S. Cherian, Verghese T. The Effect of Elevated A1C on Immediate Postoperative Complications: A Prospective Observational Study |
title | The Effect of Elevated A1C on Immediate Postoperative Complications: A Prospective Observational Study |
title_full | The Effect of Elevated A1C on Immediate Postoperative Complications: A Prospective Observational Study |
title_fullStr | The Effect of Elevated A1C on Immediate Postoperative Complications: A Prospective Observational Study |
title_full_unstemmed | The Effect of Elevated A1C on Immediate Postoperative Complications: A Prospective Observational Study |
title_short | The Effect of Elevated A1C on Immediate Postoperative Complications: A Prospective Observational Study |
title_sort | effect of elevated a1c on immediate postoperative complications: a prospective observational study |
topic | Feature Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5898174/ https://www.ncbi.nlm.nih.gov/pubmed/29686451 http://dx.doi.org/10.2337/cd17-0081 |
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