Diabetes mellitus is associated with negative outcomes in patients undergoing surgery. Blood sugar levels are monitored by measuring a values that include but are not limited to hemoglobin A1c, capillary blood glucose, and fructosamine . This study is being done to investigate if there is an associated between these values and postsurgical outcomes.
This study aims to compare the predictive capacity of both fructosamine and HbA1c on preoperative basal glucose level, as well as adverse events (cardiovascular events, surgical site infection, and mortality) and length of post-anesthesia care unit (PACU) stay in both Type I and Type II diabetic patients. Secondary outcomes include length of anesthesia administration, an indicator of intraoperative complications, and perioperative glucose level.
Study Type
OBSERVATIONAL
Enrollment
50
Capillary blood glucose (CBG), HbA1c, fructosamine, albumin, BUN, and creatinine values will be obtained from a blood draw as a standard of care
The Ohio State University Wexner Medical Center
Columbus, Ohio, United States
fasting capillary blood glucose level
Association between pre-operative HbA1c and fructosamine with pre-operative, fasting capillary blood glucose level measured the morning of surgery in preoperative holding area.
Time frame: 1 hour
hypoglycemia
i. Incidence of hypoglycemia, defined as CBG \< 70 mg/dL, during the perioperative period
Time frame: 1 day
hyperglycemia
ii. Incidence of hyperglycemia, defined as CBG \> 180 mg/dL, during the perioperative period
Time frame: 1 day
infection
Incidence of wound infection
Time frame: 1 day
wound healing
Incidence of poor wound healing
Time frame: 1 day
delirium
Incidence of post-operative delirium
Time frame: 1 day
reoperation
Incidence of reoperation procedure
Time frame: 1 day
LOS
Length of PACU stay
Time frame: 1 day
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