Diabetes Mellitus, Hyperglycemia, Surgery
Conditions
Brief summary
Patients with and without diabetes who have postoperative hyperglycemia have worse outcomes than patients with in-target blood sugars. Previous quality improvement work suggests numerous barriers and clinical inertia may contribute to quality gaps in glycemic management for surgical patients. Using a framework for perioperative glycemic management, we sought to measure quality gaps in perioperative glycemic care. This cross-sectional study used administrative data to measure the proportion of surgical patients with and without known diabetes who underwent preoperative hemoglobin A1c measurement, postoperative point-of-care testing for glucose (POCT), had hyperglycemia, and received basal bolus insulin regimens for treatment. We performed an exploratory analysis comparing length of stay (LOS) in patients with and without diabetes who had and did not have postoperative hyperglycemia.
Interventions
OTHERExposure - postoperative hyperglycemia
Postoperative hyperglycemia (blood or capillary glucose \> 10.0 mmol/L) within 72 hours of a surgical procedure
Sponsors
University of Calgary
Study design
Observational model
COHORT
Time perspective
CROSS_SECTIONAL
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Underwent inpatient surgical procedure at the Foothills Medical Centre between Apr 1 2019 and March 31 2020 * Stayed in hospital for more than 24-hours after surgery
Exclusion criteria
* Younger than 18 years of age
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of point of care blood glucose measurements in 24-hours after surgery | 24-hours post surgery | — |
| Proportion of patients who have hyperglycemia | 24-hours after surgery | blood or capillary glucose \> 10 mmol/L |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Proportion of patients who have moderate hyperglycemia | 24-hours after surgery | blood or capillary glucose 14.0-17.9 mmol/L |
| Proportion of patients who have severe hyperglycemia | 24-hours after surgery | blood or capillary glucose \> 18.0 mmol/L |
| Hospital Length of stay | Until study completion (up to one year from surgical procedure) | Hospital length of stay (days) |
Countries
Canada
Outcome results
None listed