Outcomes associated with hyperglycemia after abdominal aortic aneurysm repair

Journal of Vascular Surgery
Yauhen A TarbunouTodd R Vogel

Abstract

We evaluated the association between postoperative hyperglycemia and outcomes after abdominal aortic aneurysm (AAA) repair. We used diagnosis and procedure codes (International Classification of Diseases, Ninth Revision, Clinical Modification) to identify patients who underwent open or endovascular repair of a nonruptured AAA from September 2008 to March 2014 from the Cerner Health Facts database (Cerner Corporation, North Kansas City, Mo). We evaluated the association between postoperative hyperglycemia (glucose concentration >180 mg/dL) and infections, in-hospital mortality, readmission, patients' characteristics, length of hospital stay, and medications. Multivariable logistic models examined the association of postoperative hyperglycemia with in-hospital infection and mortality. Of 2478 patients, 2071 (83.5%) had good postoperative glucose control (80-180 mg/dL), and 407 (16.5%) had suboptimal control (hyperglycemia). Patients who had postoperative hyperglycemia experienced longer hospital stays (9.5 vs 4.7 days; P < .0001), higher infection rates (18% vs 8%; P < .0001), higher in-hospital mortality (8.4 vs 1.2%; P <.0001), and more acute complications (ie, acute renal failure, fluid and electrolyte disorders, respiratory c...Continue Reading

References

Mar 13, 2002·The Journal of Clinical Endocrinology and Metabolism·Guillermo E UmpierrezAbbas E Kitabchi
Oct 7, 2004·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·T M VriesendorpJ B L Hoekstra
Oct 11, 2005·The Journal of Thoracic and Cardiovascular Surgery·Torsten DoenstMichael A Borger
Apr 19, 2006·Archives of Surgery·Annika S DrongeRonnie A Rosenthal
Aug 30, 2008·JAMA : the Journal of the American Medical Association·Renda Soylemez WienerRobin J Larson
Dec 19, 2008·The New England Journal of Medicine·William DuckworthUNKNOWN VADT Investigators
Mar 26, 2009·The New England Journal of Medicine·Simon FinferJuan J Ronco
Apr 21, 2009·American Heart Journal·Jan-Peter van KuijkDon Poldermans
May 21, 2009·Endocrine Practice : Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists·Etie S MoghissiUNKNOWN American Diabetes Association
Dec 8, 2010·Annals of Surgery·Joseph T KingRonnie A Rosenthal
Jan 10, 2012·The Journal of Clinical Endocrinology and Metabolism·Guillermo E UmpierrezUNKNOWN Endocrine Society
Jan 12, 2012·JAMA : the Journal of the American Medical Association·Abhinav GoyalMikhail Kosiborod
Feb 15, 2012·Archives of Internal Medicine·Amit P AminMikhail Kosiborod
Jul 6, 2012·Current Pharmaceutical Design·Andra E Duncan
Aug 19, 2014·Annals of Surgery·Meera KotagalUNKNOWN SCOAP-CERTAIN Collaborative
Sep 17, 2015·BMC Health Services Research·Jonathan P DeShazo, Mark A Hoffman
Jun 25, 2016·Gastric Cancer : Official Journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association·Claudio FiorilloSergio Alfieri
Jul 21, 2016·American Journal of Surgery·Anirudh R NandanHaytham M A Kaafarani
Apr 24, 2017·Journal of Vascular Surgery·Todd R VogelRobin L Kruse

❮ Previous
Next ❯

Citations

Aug 29, 2020·VASA. Zeitschrift für Gefässkrankheiten·Sigrid NikolChristine Espinola-Klein
May 31, 2019·Journal of Vascular Surgery·Fabien LareyreJuliette Raffort
Jul 23, 2019·Journal of Vascular Surgery·Yazan Duwayri, William D Jordan

❮ Previous
Next ❯

Related Concepts

Related Feeds

Aneurysm

Aneurysms are outward distensions or bulges that occurs in a weakened wall of blood vessels. Discover the latest research on aneurysms here.

Biomarkers for Diabetes

This feed focuses on the latest research on biomarkers used for monitoring disease progression in diabetes.

Aortic Aneurysm

An aortic aneurysm is the weakening and bulging of the blood vessel wall in the aorta. This causes dilatation of the aorta, which is usually asymptomatic but carries the risk of rupture and hemorrhage. Find the latest research on aortic aneurysms here.

Related Papers

The Journal of Clinical Endocrinology and Metabolism
Guillermo E UmpierrezAbbas E Kitabchi
Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association
Y WangJ Fisher
© 2022 Meta ULC. All rights reserved