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Brazilian Journal of Anesthesiology
Article . 2017 . Peer-reviewed
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Brazilian Journal of Anesthesiology
Article
License: CC BY NC ND
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Hyperglycemia assessment in the post-anesthesia care unit

Authors: Pereira, Vinicius Rodovalho; Azuma, Rodrigo Akio; Gatto, Bruno Emanuel Oliva; Silva Junior, João Manoel; Carmona, Maria Jose Carvalho; Malbouisson, Luiz Marcelo Sá;

Hyperglycemia assessment in the post-anesthesia care unit

Abstract

Hyperglycemia in surgical patients may cause serious problems. Analyzing this complication in this scenario contributes to improve the management of these patients. The aim of this study was to evaluate the prevalence of hyperglycemia in the post-anesthetic care unit (PACU) in non-diabetic patients undergoing elective surgery and analyze the possible risk factors associated with this complication.We evaluated non-diabetic patients undergoing elective surgeries and admitted in the PACU. Data were collected from medical records through precoded questionnaire. Hyperglycemia was considered when blood glucose was>120mg.dL-1. Patients with hyperglycemia were compared to normoglycemic ones to assess factors associated with the problem. We excluded patients with endocrine-metabolic disorders, diabetes, children under 18 years, body mass index (BMI) below 18 or above 35, pregnancy, postpartum or breastfeeding, history of drug use, and emergency surgeries.We evaluated 837 patients. The mean age was 47.8±16.1 years. The prevalence of hyperglycemia in the postoperative period was 26.4%. In multivariate analysis, age (OR=1.031, 95% CI 1.017-1.045); BMI (OR=1.052, 95% CI 1.005-1.101); duration of surgery (OR=1.011, 95% CI 1.008-1.014), history of hypertension (OR=1.620, 95% CI 1.053-2.493), and intraoperative use of corticosteroids (OR=5.465, 95% CI 3.421-8.731) were independent risk factors for postoperative hyperglycemia.The prevalence of hyperglycemia was high in the PACU, and factors such as age, BMI, corticosteroids, blood pressure, and duration of surgery are strongly related to this complication.

Keywords

Adult, Male, Adolescent, Post-anesthetic care unit, Hiperglicemia, Risk Assessment, Sala de recuperação anestésica, Young Adult, Postoperative Complications, Anesthesiology, Prevalence, Humans, Prevalência, RD78.3-87.3, Anesthesia, Cirurgia eletiva, Elective surgery, Aged, Aged, 80 and over, Fatores de risco, Middle Aged, Risk factors, Hyperglycemia, Female, Hospital Units

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
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