Elevated Post-Op Glucose Ups Risk of Surgical Site Infection

Vascular surgeries also carry higher infection risk, but risk factors differ
By Lindsey Marcellin
HealthDay Reporter

TUESDAY, Sept. 21 (HealthDay News) -- Postoperative hyperglycemia is an important risk factor for surgical site infection (SSI) in general surgical procedures, but only operative time and diabetes are associated with SSI after vascular procedures, according to research published in the September issue of the Archives of Surgery.

Ashar Ata, of Albany Medical College in New York, and colleagues conducted a retrospective medical record review of surgery patients in an institutional quality improvement database between Nov. 1, 2006, and April 30, 2009. The purpose of the study was to determine whether postoperative hyperglycemia is an independent risk factor for postoperative SSI.

The researchers found that increasing age, emergency surgery, American Society of Anesthesiologists classes P3 to P5, operative time, and diabetes were all significant predictors of SSI for general (non-vascular) surgery patients; however, after adjustment for postoperative glucose level, only incremental postoperative glucose level remained significantly associated with SSI risk. Vascular surgery patients were more likely to have an SSI (odds ratio, 1.8) than general surgery patients, but operative time and diabetes mellitus -- not postoperative hyperglycemia -- were the only factors associated with SSI in this subset of surgical patients.

"If hyperglycemia is confirmed in future prospective studies with better postoperative glucose data to be an independent risk factor for post-surgical infection in general surgery patients, this would give surgeons a modifiable variable to reduce the incidence of postoperative infection," the authors write.

Abstract
Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)

Copyright © 2010 HealthDay. All rights reserved.

Powered by

jQuery UI Accordion - Default functionality

For life-long learning and continuing professional development, come to Lippincott's NursingCenter.

Nursing Jobs Plus
Featured Jobs
Recommended CE Articles Recommended Nursing Articles

What internal motivators drive RNs to pursue a BSN?
Nursing2014 , October 2014
Free access will expire on November 24, 2014.


Breast Cancer Risk Assessment in Primary Care
MCN, The American Journal of Maternal/Child Nursing, September/October 2014
Free access will expire on November 10, 2014.


Nurses spurring innovation
Nursing Management, October 2014
Free access will expire on November 10, 2014.


More Recommended Articles

Subscribe to Recommended Articles

Evidence Based Practice Skin Care Network NursingCenter Quick Links What’s Trending Events