Cited by 379Hyperglycemia and glycemic control in critically ill and hospitalized patientsSurgical site infection preventionEnhanced Recovery After Surgery

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Postoperative Hyperglycemia and Surgical Site Infection in General Surgery Patients

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Ata, Ashar·2010·Archives of Surgery

DOI 10.1001/archsurg.2010.179

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Abstract

HYPOTHESIS: Postoperative hyperglycemia is an independent risk factor for postoperative surgical site infection (SSI). DESIGN: Retrospective medical record review. SETTING: Academic tertiary referral center. PATIENTS: A total of 2090 general and vascular surgery patients in an institutional quality improvement database between November 1, 2006, and April 30, 2009. MAIN OUTCOME MEASURE: Postoperative SSI. RESULTS: Postoperative glucose levels were available for 1561 patients (74.7.0%), of which 803 (51.4%) were obtained within 12 hours of surgery. The significant univariate predictors of SSI in general surgery patients were increasing age, emergency status, American Society of Anesthesiologists physical status classes P3 to P5, operative time, more than 2 U of red blood cells transfused, preoperative glucose level higher than 180 mg/dL (to convert to millimoles per liter, multiply by 0.0555), diabetes mellitus, and postoperative hyperglycemia. On multivariate adjustment, increasing age, emergency status, American Society of Anesthesiologists classes P3 to P5, operative time, and diabetes remained significant predictors of SSI for general surgery patients. After adjustment for postoperative glucose level, all these variables ceased to be significant predictors of SSI; only incremental postoperative glucose level remained significant. Subanalysis revealed that a serum glucose level higher than 140 mg/dL was the only significant predictor of SSI (odds ratio, 3.2; 95% confidence interval [CI], 1.4-7.2) for colorectal surgery patients. Vascular surgery patients were 1.8 times (95% CI, 1.3-2.5 times) more likely to develop SSI than were general surgery patients. Operative time and diabetes mellitus were the only significant univariate predictors of SSI among vascular surgery patients, and postoperative hyperglycemia was not associated with SSI. CONCLUSIONS: Postoperative hyperglycemia may be the most important risk factor for SSI. Aggressive early postoperative glycemic control should reduce the incidence of SSI.

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Intensive insulin therapy in critically ill patients.
Van den Berghe, G., Wouters, P., Weekers, F., Verwaest, C., Bruyninckx, F., Schetz, M., Vlasselaers, D., Ferdinande, P., Lauwers, P., & Bouillon, R. (2001) · New England Journal of Medicine · doi:10.1056/nejmoa011300 · Cited by 9,977
Intensive versus Conventional Glucose Control in Critically Ill Patients
(2009) · New England Journal of Medicine · doi:10.1056/nejmoa0810625 · Cited by 5,119
Guideline for Prevention of Surgical Site Infection, 1999
Mangram, A. J., Horan, T. C., Pearson, M. L., Silver, L. C., & Jarvis, W. R. (1999) · Infection Control and Hospital Epidemiology · doi:10.1086/501620 · Cited by 4,587
Guideline for Prevention of Surgical Site Infection, 1999
Mangram, A. J., Horan, T. C., Pearson, M. L., Silver, L. C., & Jarvis, W. R. (1999) · American Journal of Infection Control · doi:10.1016/s0196-6553(99)70088-x · Cited by 2,932
National Nosocomial Infections Surveillance (NNIS) System Report, data summary from January 1992 through June 2003, issued August 2003
System, A. R. F. T. N. (2003) · American Journal of Infection Control · doi:10.1016/j.ajic.2003.09.002 · Cited by 2,923
Stress hyperglycaemia and increased risk of death after myocardial infarction in patients with and without diabetes: A systematic overview
Capes, S. E., Hunt, D., Malmberg, K., & Gerstein, H. C. (2000) · The Lancet · doi:10.1016/s0140-6736(99)08415-9 · Cited by 2,187 · cited 1×
“Hyperglycemia has also been shown to be associated with increased morbidity and mortality rates in nondiabetic patients.(12,13) Intensive insulin therapy is common in cardiac and surgical intensive care units (ICUs), often with the goal of maintaining capillary glucose levels between 80 and 110 mg/dL (to convert to mi…”
Background
The Impact of Surgical-Site Infections in the 1990s: Attributable Mortality, Excess Length of Hospitalization, And Extra Costs
Kirkland, K. B., Briggs, J. P., Trivette, S. L., Wilkinson, W. E., & Sexton, D. J. (1999) · Infection Control and Hospital Epidemiology · doi:10.1086/501572 · Cited by 1,713
The Department of Veterans Affairs' NSQIP
Khuri, S. F., Daley, J., Henderson, W. G., Hur, K., Demakis, J. G., Aust, J. B., Chong, V., Fabri, P. J., Gibbs, J. O., Grover, F. L., et al. (1998) · Annals of Surgery · doi:10.1097/00000658-199810000-00006 · Cited by 1,543
Continuous intravenous insulin infusion reduces the incidence of deep sternal wound infection in diabetic patients after cardiac surgical procedures
Furnary, A. P., Zerr, K. J., Grunkemeier, G. L., & STARR, A. M. (1999) · The Annals of Thoracic Surgery · doi:10.1016/s0003-4975(99)00014-4 · Cited by 1,225
Hospital costs associated with surgical complications: A report from the private-sector National Surgical Quality Improvement Program
Dimick, J. B., Chen, S. L., Taheri, P. A., Henderson, W. G., Khuri, S. F., & Campbell, D. A. (2004) · Journal of the American College of Surgeons · doi:10.1016/j.jamcollsurg.2004.05.276 · Cited by 933

Show all 42 references

Research works printed but not linked: 2

National Nosocomial Infections Surveillance (NNIS) System Report, data sum- mary from January 1992-June 2001, issued August 2001. Am J Infect Control. 2001;29(6):404-421.
American Diabetes Association. Standards of medical care in diabetes: 2010 [pub- lished correction appears in Diabetes Care. 2010;33(3):692]. Diabetes Care. 2010; 33(suppl 1):S11-S61.

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Remifentanil-based anaesthesia increases the incidence of postoperative surgical site infection
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Edwards, M., Whittle, J., & Ackland, G. L. (2011) · Postgraduate Medical Journal · doi:10.1136/pgmj.2010.107177 · Cited by 24
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Mendez, C. E., Wainaina, J. N., Walker, R. J., Montagne, W., Livingston, A. J., Slawski, B. A., & Egede, L. E. (2017) · Clinical Diabetes · doi:10.2337/cd17-0088 · Cited by 22
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Lu, J. Y., Khamar, J., McKechnie, T., Lee, Y., Amin, N., Hong, D., & Eskicioglu, C. (2022) · International Journal of Colorectal Disease · doi:10.1007/s00384-022-04288-3 · Cited by 22
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Laser refractive surgery in diabetic patients: a review of the literature
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Hunsicker, O., Hessler, K., Krannich, A., Boemke, W., Braicu, E. I., Sehouli, J., Meyer, O. G. J., Prüß, A., Spies, C., & Feldheiser, A. (2018) · Transfusion · doi:10.1111/trf.14627 · Cited by 18
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BackgroundMethod
The management of perioperative nutrition in patients with end stage liver disease undergoing liver transplantation.
Qi-kun, Z., & Wang, M. (2015) · Europe PMC (PubMed Central) · doi:10.3978/j.issn.2304-3881.2014.09.14 · Cited by 17
Perioperative care of elderly outpatient: a review.
Grifasi, C., Calogero, A., Esposito, A. A., & Dodaro, C. A. (2014) · PubMed · Cited by 16
Surgical Outcomes in Urogynecology—Assessment of Perioperative and Postoperative Complications Relative to Preoperative Hemoglobin A1c—A Fellows Pelvic Research Network Study
Ringel, N. E., de Winter, K. L., Siddique, M., Marczak, T., Kisby, C. K., Rutledge, E., Soriano, A., Samimi, P., Schroeder, M., Handler, S., et al. (2021) · Urogynecology · doi:10.1097/spv.0000000000001057 · Cited by 16
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Lyden, J. R., & Dellinger, E. P. (2016) · Hospital Medicine Clinics · doi:10.1016/j.ehmc.2015.11.002 · Cited by 16
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Arrighi‐Allisan, A. E., Neifert, S. N., Gal, J. S., Zeldin, L., Zimering, J. H., Gilligan, J. T., Deutsch, B. C., Snyder, D., Nistal, D. A., & Caridi, J. M. (2020) · Global Spine Journal · doi:10.1177/2192568220948480 · Cited by 16
Prevention of Surgical Site Infections in Neonates and Children: Non-Pharmacological Measures of Prevention
Meoli, A., Ciavola, L., Rahman, S., Masetti, M., Toschetti, T., Morini, R., Canto, G. D., Auriti, C., Caminiti, C., Castagnola, E., et al. (2022) · Antibiotics · doi:10.3390/antibiotics11070863 · Cited by 15
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Background
Perioperative glycemic measures among non-fasting gynecologic oncology patients receiving carbohydrate loading in an enhanced recovery after surgery (ERAS) protocol
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“Hyperglycemia in hospitals commonly occurs in patients with acute trauma, viral infection, septicemia, burns, myocardial infarction, stroke, and cardiac surgery [3].”
BackgroundInfluential
A trauma‐related survival predictive model of acute respiratory distress syndrome
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Perioperative Glucose Control and Infection Risk in Older Surgical Patients
Lee, P., Min, L. C., & Mody, L. (2014) · Current Geriatrics Reports · doi:10.1007/s13670-014-0077-6 · Cited by 14
Determinants, time trends and dynamic consequences of postoperative hyperglycemia in nondiabetic patients undergoing major elective abdominal surgery
Gianotti, L. V., Sandini, M., Biffi, R., Marrelli, D., Vignali, A., Begg, S. K. S., & Bernasconi, D. P. (2018) · Clinical Nutrition · doi:10.1016/j.clnu.2018.07.028 · Cited by 13
Building a Center for Abdominal Core Health: The Importance of a Holistic Multidisciplinary Approach
Seaman, A. P., Schlosser, K. A., Eiferman, D. S., Narula, V. K., Poulose, B. K., & Janis, J. E. (2022) · Journal of Gastrointestinal Surgery · doi:10.1007/s11605-021-05241-5 · Cited by 12
A 10-Year Review of Total Hospital-Onset ICU Bloodstream Infections at an Academic Medical Center
Civitarese, A. M., Ruggieri, E., Walz, J. M., Mack, D. A., Heard, S. O., Mitchell, M. J., Lilly, C. M., Landry, K. E., & Ellison, R. T. (2017) · CHEST Journal · doi:10.1016/j.chest.2017.02.008 · Cited by 12
Management of comorbidities in ambulatory anesthesia: a review
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“The importance of frequent postoperative assessment of blood glucose levels in reducing infectious complications has been previously demonstrated.(84) Areas of clinical controversy in managing surgical patients with diabetes have been addressed.”
Effects of Hyperglycemia and Continuous Intravenous Insulin on Outcomes of Surgical Patients
Schlussel, A. T., Holt, D. B., Crawley, E. A., Lustik, M. B., Wade, C. E., & UYEHARA, C. F. T. (2011) · Journal of Surgical Research · doi:10.1016/j.jss.2011.07.004 · Cited by 12
“Subsequent studies have evaluated hyperglycemia as a risk factor for an increased rate of surgical site infections and prolonged hospital length of stay (LOS) in both the colorectal and vascular surgery populations, but all patients did not require ICU management or a continuous insulin infusion [6, 15–19].”
Background
Correlation of hemoglobin A1C level with surgical outcomes: Can tight perioperative glucose control reduce infection and cardiac events?
Shaw, P. M., Saleem, T., & Gahtan, V. (2014) · Seminars in Vascular Surgery · doi:10.1053/j.semvascsurg.2015.03.002 · Cited by 12
“5) more likely to develop surgical site infection than were general surgery patients [57].”
Background
Infection after urogynecologic surgery with the use of dexamethasone for nausea prophylaxis
Gali, B., Burkle, C. M., Klingele, C. J., Schroeder, D. R., & Jankowski, C. J. (2012) · Journal of Clinical Anesthesia · doi:10.1016/j.jclinane.2012.03.009 · Cited by 12
“Hyperglycemia has been associated with increased infections in various surgical populations [12-14].”
Background
The neglected perioperative population of undiagnosed diabetics – a retrospective cohort study
Teo, W. W., Ti, L. K., Lean, L. L., Seet, E. C. P., Paramasivan, A., Liu, W., Wang, J., Chua, V. T. Y., & Liew, L. Q. (2020) · BMC Surgery · doi:10.1186/s12893-020-00844-2 · Cited by 12
Surgical “error traps” of open posterior component separation—transversus abdominis release
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Does tight glycemic control improve outcomes in pediatric patients undergoing surgery and/or those with critical illness?
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“Hanazaki and Okabayashi(27) suggested that a critical cutoff of 140 mg/dL is necessary for the prevention of surgical site infections and Ata et al reported that perioperative hyperglycemia is the most important risk factor for post-surgical infection.(28) Wu et al also found a correlation between those children with…”
Tight glycemic control using an artificial endocrine pancreas may play an important role in preventing infection after pancreatic resection
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Guetta, O., Vakhrushev, A., Dukhno, O., Ovnat, A., & Sebbag, G. (2019) · World Journal of Diabetes · doi:10.4239/wjd.v10.i2.78 · Cited by 11
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Billeter, A. T., Rice, J., Druen, D., Sklare, S., Walker, S., Gardner, S. A., & Polk, H. C. (2015) · Annals of Surgery · doi:10.1097/sla.0000000000001175 · Cited by 11
Surgical Site Infections
Dellinger, E. P. (2012) · Elsevier eBooks · doi:10.1016/b978-1-4377-0126-5.00052-5 · Cited by 11
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Ho, K. K. Y., Peng, Y.-W., Ye, M., Tchouta, L., Schneider, B., Hayes, M., Toomasian, J. M., Cornell, M. S., Rojas-Peña, Á., Charpie, J. R., et al. (2020) · Chemosensors · doi:10.3390/chemosensors8030056 · Cited by 10
Ability of minimally invasive surgery to decrease incisional surgical site infection occurrence in patients with colorectal cancer and other gastroenterological malignancies
Yamamoto, T., Yoshitomi, M., Oshimo, Y., Nishikawa, Y., Hisano, K., Nakano, K., Kawai, T., Okuchi, Y., Iguchi, K., Tanaka, E. I., et al. (2023) · Frontiers in Surgery · doi:10.3389/fsurg.2023.1150460 · Cited by 10
“296 Postoperative hyperglycemia 27 (12) 200 (88) 0.”
BackgroundInfluential
Novel approaches to surgical site infections: what recommendations can be made?
Aghdassi, S. J. S., & Gastmeier, P. (2017) · Expert Review of Anti-infective Therapy · doi:10.1080/14787210.2017.1404451 · Cited by 10
“both for patients with underlying diabetes mellitus and nondiabetic patients [45,46].”
Background
Guidelines to improve perioperative management of diabetes mellitus: an example of a successful quality initiative
Shah, M., Apsey, H. A., Stearns, J. D., Schlinkert, R. T., Seifert, K. M., & Cook, C. B. (2014) · Diabetes Management · doi:10.2217/dmt.14.26 · Cited by 10
An Elevated HbA1c Level Is Associated With Short-Term Adverse Outcomes in Patients With Gastrointestinal Cancer and Type 2 Diabetes Mellitus
Huang, Y., Zheng, H., Chen, P., Yang, J., Lin, S., Liu, T., Chen, S., Lu, S., Chen, J., Chen, W., et al. (2017) · Journal of Clinical Medicine Research · doi:10.14740/jocmr2607w · Cited by 10
“That hyperglycemia may be an important risk factor for postoperative infectious morbidity has become increasingly recognized [36, 37].”
Background
RETRACTED: Extensive analysis of risk factors associated with surgical site infections post‐cardiothoracic open surgery
Li, H., Zheng, X., & Gao, J. (2024) · International Wound Journal · doi:10.1111/iwj.14842 · Cited by 9
Retracted
Postoperative hyperglycemia among adult non-diabetic surgical patients at University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia
Dejen, E. T., Workie, M. M., Zeleke, T. G., Admass, B. A., Melesse, D. Y., & Belayneh, T. (2024) · BMC Anesthesiology · doi:10.1186/s12871-024-02592-9 · Cited by 9
EXÁMENES PREOPERATORIOS DE RUTINA EN CIRUGÍA ELECTIVA: ¿CUÁL ES LA EVIDENCIA?
Claudio Nazar, J., Javier Bastidas, E., & Guillermo Lema, F. (2014) · Revista de Cirugía · doi:10.4067/s0718-40262014000200017 · Cited by 9
Abdominal wall procedures: the benefits of prehabilitation
Knapp, N., Jedrzejewski, B., & Martindale, R. G. (2020) · Plastic and Aesthetic Research · doi:10.20517/2347-9264.2019.69 · Cited by 9
“Currently, perioperative blood sugar control in both diabetic and non-diabetic patients should aim for 120-160 mg/dL to minimize complication risks([40-42]).”
Background
The impact of metabolic syndrome (MetS) on surgical outcome for patients with mostly HBV‐related hepatocellular carcinoma (HCC) underwent hepatectomy
Tian, Y., Li, T., Qi, S., Alhourani, H., Luo, B., Chenqin, J., Fu, Q., Peng, Y., & Wu, J. (2020) · Journal of Surgical Oncology · doi:10.1002/jso.26055 · Cited by 9
Evaluation of Effectiveness and Safety of an ICU Insulin Infusion Protocol
Ngalob, Q. G., Jimeno, C., & Isip-Tan, I. T. (2014) · Journal of the ASEAN Federation of Endocrine Societies · doi:10.15605/jafes.029.01.05 · Cited by 9
Preoperative Hypoalbuminemia is an Independent Risk Factor for the Development of Surgical Site Infection Following Gastrointestinal Surgery
Hennessey, D. B., Burke, J. P., Winter, D. C., & Mealy, K. (2011) · Annals of Surgery · doi:10.1097/sla.0b013e318230631b · Cited by 9
Perioperative Glycemic Control During Colorectal Surgery
Thompson, R. E., Broussard, E. K., Flum, D. R., & Wisse, B. E. (2016) · Current Diabetes Reports · doi:10.1007/s11892-016-0722-x · Cited by 9
Modern aspects of diagnostic and surgical treatment of patients with hip periprosthetic infection (review)
Pavlov, V. V., Sadovoy, M. A., & Прохоренко, В. М. (2015) · Traumatology and Orthopedics of Russia · doi:10.21823/2311-2905-2015-0-1-116-128 · Cited by 9
The effect of a split-dose intravenous dexamethasone and a single high-dose on postoperative blood glucose after total joint arthroplasty: a randomized double-blind placebo-controlled trial
Liu, X., Mou, P., Cao, J., Chen, X., Wang, H., Zeng, W., & Zhou, Z.-K. (2024) · Journal of Orthopaedic Surgery and Research · doi:10.1186/s13018-024-04887-6 · Cited by 8
“Postoperative hyperglycemia may be the most important risk factor for surgical site infection, PJI or other complications [32, 33].”
Background
Impact of enhanced recovery after surgery (ERAS) on surgical site infection and postoperative recovery outcomes: a retrospective study of 1276 cases
Wang, B., Wang, Y., Huang, J., Wang, P., Yao, D., Huang, Y., Zhou, Z., Zhen, L., Yu, C., Xie, T., et al. (2024) · Scientific Reports · doi:10.1038/s41598-024-74389-2 · Cited by 8
Stress-Induced Hyperglycemia is a Risk Factor for Surgical-Site Infections in Nondiabetic Patients with Open Leg Fractures
Cianni, L., Caredda, M., Fazio, A. D., Basilico, M., Greco, T., Cazzato, G., Perisano, C., Maccauro, G., & Vitiello, R. (2023) · Advances in Orthopedics · doi:10.1155/2023/6695648 · Cited by 8
“In fact, relatively few studies can be found in the orthopedic literature which correlates hyperglycemia with an increased risk of infection [31, 36–40] and, to our knowledge, none specifcally concern nondiabetic patients with open leg fractures.”
Background
Skin repair and infection control in diabetic, obese mice using bioactive laser-activated sealants
Pallod, S., Olvera, R. A., Ghosh, D., Rai, L., Brimo, S., DeCambra, W., Sant, H. G., Ristich, E., Singh, V., Abedin, M. R., et al. (2024) · Biomaterials · doi:10.1016/j.biomaterials.2024.122668 · Cited by 8
Prevention, Diagnosis, and Management of Surgical Site Infections
de Mestral, C., & Nathens, A. B. (2013) · Critical Care Clinics · doi:10.1016/j.ccc.2013.06.009 · Cited by 8
The clinical significance of hyperglycemia in nondiabetic critically ill multiple trauma patients
Koyfman, L., Brotfain, E., Frank, D., Bichovsky, Y., Kovalenko, I., Binyamin, Y., Borer, A., Friger, M. D., & Klein, M. (2018) · Therapeutic Advances in Endocrinology and Metabolism · doi:10.1177/2042018818779746 · Cited by 8
Evaluating perioperative glycemic control of non-cardiac surgical patients with diabetes
Todd, L. A., & Vigersky, R. A. (2020) · Military Medicine · doi:10.1093/milmed/usaa467 · Cited by 17
Multidisciplinary approach and host optimization for fracture-related infection management
Li, B., Liu, C., Alt, V., Rupp, M., Zhang, N., Cheung, W., Jantsch, J., & Wong, R. M. Y. (2024) · Injury · doi:10.1016/j.injury.2024.111899 · Cited by 7
The Impact and Clinical Prediction of Hyperglycemia During Parenteral Nutrition for Nondiabetic Patients After Gastrectomy for Gastric Cancer
Lan, N., Chen, X., Lu, Y., Zhou, Y., Kong, F., Zhao, Y., Jiao, F., Zhang, L., & Yuan, W. (2022) · Frontiers in Nutrition · doi:10.3389/fnut.2022.807841 · Cited by 7
“The inclusion criteria included patients who (1) were 18–80 years old; (2) histologically confirmed gastric cancer; (3) radical gastrectomy performed with D2 lymphadenectomy; and (4) nutritional risk with nutritional risk screening (NRS 2002) scored ≥3.”
Background
Prevalence of Diabetes Mellitus in the Surgical Population of the University of Puerto Rico Affiliated Hospitals: A Study using the Surgery Database.
Cruz, N. I., Santiago, E., & Abdul‐Hadi, A. (2016) · PubMed · Cited by 7
Enhanced recovery after surgery:an anesthesiologist’s perspective
Chae, M., Lee, H., Park, C.-O., & Hong, S. (2018) · Anesthesia and Pain Medicine · doi:10.17085/apm.2018.13.4.372 · Cited by 57
Inpatient diabetes management
Demidowich, A. P., Stanback, C., & Zilbermint, M. F. (2024) · Annals of the New York Academy of Sciences · doi:10.1111/nyas.15190 · Cited by 9
Sepsis in obese pregnant women
Orr, K., & CHIEN, P. F. W. (2014) · Best Practice & Research Clinical Obstetrics & Gynaecology · doi:10.1016/j.bpobgyn.2014.10.007 · Cited by 7
Post‐operative Glycaemic Control Using an Insulin Infusion is Associated with Reduced Surgical Site Infections in Colorectal Surgery
Shakeshaft, A. J., Scanlon, K., Eslick, G. D., Azmir, A., & Cox, M. R. (2020) · World Journal of Surgery · doi:10.1007/s00268-020-05596-x · Cited by 7
Extensive Adipose Tissue Necrosis Following Pfannenstiel Incision for Endometrial Cancer
Lavoie, M. C., Plante, M., Lemieux, M.-C., Roberge, C., Renaud, M., Grégoire, J., Roy, M., & Sebastianelli, A. (2014) · Journal of Obstetrics and Gynaecology Canada · doi:10.1016/s1701-2163(15)30634-4 · Cited by 7
Improved postoperative blood glucose control through implementation of clinical pharmacist driven glycemic management model after colorectal surgery
Smith, N. T., Xiong, S., Bergquist, W. J., Blader, L. R., Tang, K. K., & Cima, R. R. (2022) · The American Journal of Surgery · doi:10.1016/j.amjsurg.2022.12.018 · Cited by 6
Impact of Metabolic Syndrome on Early Postoperative Outcomes After Cervical Disk Replacement
Zhao, E. R., Shinn, D. J., Basilious, M., Subramanian, T., Shahi, P., Amen, T. B., Maayan, O., Dalal, S. S., Araghi, K., Song, J., et al. (2024) · Clinical Spine Surgery A Spine Publication · doi:10.1097/bsd.0000000000001567 · Cited by 6
“37,38 41 This may be due to vascular in-suf ﬁ ciencies and increased oxidative stress that can be co-morbid in obese patients, among other factors.”
Background
Managing diabetes mellitus in the surgical patient
Coan, K. E., Apsey, H. A., Schlinkert, R. T., Stearns, J. D., & Cook, C. B. (2014) · Diabetes Management · doi:10.2217/dmt.14.42 · Cited by 6
Development and Implementation of a Perioperative Blood Glucose Monitoring Protocol for Patients Undergoing Spinal Surgery
Wainwright, C. L., Setji, T. L., Sata, S. D., Lamb, S. W., & Goode, V. M. (2019) · Journal of PeriAnesthesia Nursing · doi:10.1016/j.jopan.2019.09.006 · Cited by 6
Impact of Postoperative Glycemic Control on Postoperative Morbidity in Patients Undergoing Open Pancreaticoduodenectomy
Yun, R., Javed, A. A., Jarrell, A. S., Crow, J. R., Wright, M. J., Burkhart, R. A., Rybny, J., Wolfgang, C. L., & Kruer, R. M. (2021) · Pancreas · doi:10.1097/mpa.0000000000001856 · Cited by 6
Effects of a low-carbohydrate diabetes-specific formula in type 2 diabetic patients during tube feeding evaluated by continuous glucose monitoring
Mori, Y., Ohta, T., Tanaka, T., Morohoshi, Y., Matsuura, K., Yokoyama, J., & Utsunomiya, K. (2011) · e-SPEN the European e-Journal of Clinical Nutrition and Metabolism · doi:10.1016/j.eclnm.2011.01.010 · Cited by 7
Decisional practices and patterns of intraoperative glucose management in an academic medical center
Grunzweig, K. A., Nair, B. G., Peterson, G. N., Horibe, M., Neradilek, M. B., Newman, S.-F., Norman, G. A. V., Schwid, H. A., Hao, W., Dellinger, E. P., et al. (2016) · Journal of Clinical Anesthesia · doi:10.1016/j.jclinane.2016.02.027 · Cited by 6
Prävention der postoperativen Wundinfektion
Scheithauer, S., Artelt, T., Bauer, M., & Waeschle, R. M. (2016) · Der Anaesthesist · doi:10.1007/s00101-016-0169-0 · Cited by 6
Use and Effectiveness of Peri-Operative Cefotetan versus Cefazolin Plus Metronidazole for Prevention of Surgical Site Infection in Abdominal Surgery Patients
Sadler, E. D., Smith, J. M., Kruer, R. M., Avdic, E., Lipsett, P. A., Curless, M. S., & Jarrell, A. S. (2018) · Surgical Infections · doi:10.1089/sur.2018.010 · Cited by 6
“Post-operative hyperglycemia was shown to be associated with an increase in odds for SSI, which is consistent with previous studies [29–32].”
Standardized Glycemic Management versus Conventional Glycemic Management and Postoperative Outcomes in Type 2 Diabetes Patients Undergoing Elective Surgery
Vongsumran, N., Buranapin, S., & Manosroi, W. (2020) · Diabetes Metabolic Syndrome and Obesity · doi:10.2147/dmso.s262444 · Cited by 7
Rare coexistence of gouty and septic arthritis after arthroscopic rotator cuff repair: a case report.
Ichiseki, T., Ueda, S., & Matsumoto, T. (2015) · Europe PMC (PubMed Central) · Cited by 6

Authors: Ata, A.
Affiliations: Albany Medical College (US)
Corresponding author: Ata, Ashar
ORCID: Ata, Ashar
Venue: Archives of Surgery
Publisher: American Medical Association (AMA)
Published: 2010-09-20
Volume: 145
Issue: 9
Pages: 858
ISSN: 0004-0010 (ISSN-L)
DOI: 10.1001/archsurg.2010.179
OpenAlex: W2088981885
Cited by: 379
References: 42
Citations by year: 2026: 24 · 2025: 19 · 2024: 27 · 2023: 15 · 2022: 25 · 2021: 19 · 2020: 28 · 2019: 22 · 2018: 22 · 2017: 28 · 2016: 29 · 2015: 22 · 2014: 27 · 2013: 28 · 2012: 21
FWCI: 17.43
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: Archives of Surgery (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Hyperglycemia and glycemic control in critically ill and hospitalized patients
Health Sciences › Medicine › Surgery › Surgical site infection prevention
Health Sciences › Medicine › Surgery › Enhanced Recovery After Surgery
Keywords: postoperative hyperglycemia, surgical site infection, general surgery, vascular surgery, risk factors, glycemic control, diabetes mellitus, colorectal surgery, operative time, American Society of Anesthesiologists physical status, emergency surgery
MeSH terms: Adolescent, Adult, Age Factors, Anesthesia, Blood Transfusion, Diabetes Mellitus, Emergency Medical Services, Female, Humans, Hyperglycemia, Male, Middle Aged, Postoperative Complications, Retrospective Studies, Risk Factors, Surgical Procedures, Operative, Surgical Wound Infection, Vascular Surgical Procedures, Comorbidity, Databases, Factual, Young Adult

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Postoperative Hyperglycemia and Surgical Site Infection in General Surgery Patients

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