Intraoperative dysglycemia (abnormal blood glucose levels during surgery), specifically intraoperative hyperglycemia and intraoperative hypoglycemia, in adults without a history of diabetes mellitus undergoing emergent or urgent noncardiac surgery. Perioperative hypoglycemia, Perioperative hyperglycemia, Blood glucose monitoring, Emergency surgery, Urgent surgery, Noncardiac surgery, Surgical patients, Risk factors, Incidence study, Prospective observational study, Point of care testing, Anesth
Conditions
Interventions
Adults aged 18 years or older without a prior diagnosis of diabetes mellitus and without previous laboratory evidence of diabetes, who undergo emergent or urgent noncardiac surgery at Siriraj Hospital
Diagnostic
Non-diabetic adults undergoing emergent or urgent noncardiac surgery
Sponsors
Department of Anesthesiology Faculty of Medicine Siriraj Hospital, Mahidol University
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. Age over 18 years. 2. Patients undergoing emergency or urgent surgery in the following specialties: general surgery, vascular surgery, urology, neurosurgery, plastic surgery, trauma surgery, ophthalmology, and orthopedic surgery, receiving anesthesia by any technique. Emergency surgery is defined as surgery required within 6 hours, and urgent surgery as surgery required within 6 to 24 hours. If surgery is not performed, the patient would be at risk of death or permanent disability.
Exclusion criteria
Exclusion criteria: 1. History of diabetes mellitus, or a previous fasting blood glucose greater than 126 mg/dL, or a hemoglobin A1c greater than 6.5%.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of intraoperative dysglycemia Start of surgery and at the end of surgery for procedures lasting more than 1 hour. Point of care capillary blood glucose measurement | — |
Secondary
| Measure | Time frame |
|---|---|
| Risk factors of intraoperative dysglycemia Intraoperative period from anesthesia induction to end of surgery Clinical and perioperative variables from anesthesia and medical records; dysglycemia based on point of care blood glucose (below 70 or above 180 mg/dL). | — |
Countries
Thailand
Contacts
Public ContactThirada Srinil
Mahidol University
Outcome results
None listed