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Knee Surgery, Sports Traumatology, Arthroscopy

Published in:

01-07-2015 | Knee

Perioperative hyperglycaemia and incidence of post-operative complications in patients undergoing total knee arthroplasty

Authors: Diego Reátegui, Gerard Sanchez-Etayo, Esther Núñez, Monserrat Tió, Dragos Popescu, Monserrat Núñez, Luis Lozano

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 7/2015

Abstract

Purpose

The aim of this study was to assess whether hyperglycaemia in the post-operative period of total knee arthroplasty (TKA) affects post-operative complications regardless of diabetes mellitus (DM) diagnosis.

Methods

All patients who had undergone primary TKA were included in the study. The following data were recorded: DM diagnosis, and pre- (BGL1), intra- (BGL2) and post-operative blood glucose levels (BGL3). After 1-year follow-up, medical, infectious and mechanical or surgery-related complications were recorded.

Results

Of the 833 patients included, 130 (15.6 %) were diabetic. Median BGL1, BGL2 and BGL3 were 106.13, 93.49 and 134.16 mg/dl, respectively. After follow-up, 173 (20.8 %) patients presented complications, including 48 (5.76 %) medical complications and 94 (11.28 %) infections. Surgery-related complications presented in 31 (3.72 %) patients. A statistically significant association was found between BGL3 ≥ 126 mg/dl and complications (OR 1.95, p < 0.001), medical complications (OR 3.98, p < 0.001), and infections (OR 1.76, p < 0.006).

Conclusions

Hyperglycaemia during the post-operative period in diabetic and non-diabetic patients undergoing TKA increases post-operative medical and infectious complications. Glycemic control during this period must be performed in order to reduce these complications.

Level of evidence

Retrospective case series, Level IV.

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Title: Perioperative hyperglycaemia and incidence of post-operative complications in patients undergoing total knee arthroplasty
Authors: Diego Reátegui
Gerard Sanchez-Etayo
Esther Núñez
Monserrat Tió
Dragos Popescu
Monserrat Núñez
Luis Lozano
Publication date: 01-07-2015
Publisher: Springer Berlin Heidelberg
Published in: Knee Surgery, Sports Traumatology, Arthroscopy / Issue 7/2015
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI: https://doi.org/10.1007/s00167-014-2907-7

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Perioperative hyperglycaemia and incidence of post-operative complications in patients undergoing total knee arthroplasty

Abstract

Purpose

Methods

Results

Conclusions

Level of evidence

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

Level of evidence

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