ArticleCritical care (London, England)2004
Early postoperative hyperglycaemia is not a risk factor for infectious complications and prolonged in-hospital stay in patients undergoing oesophagectomy: a retrospective analysis of a prospective trial.
Article in Critical care (London, England), 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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16 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.
- Insulin for glycaemic control in acute ischaemic stroke.The Cochrane database of systematic reviews · 2014Pooled it
- Article
- Low preoperative hemoglobin A1c level is a predictor of perioperative infectious complications after esophagectomy: A retrospective, single-center study.Global health & medicine · 2024Article
- Early postoperative hyperglycemia as a predictor of postoperative infectious complications and overall survival in non-diabetic patients with esophageal cancer.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2023Article
- The stress hyperglycemia ratio, a novel index of relative hyperglycemia, predicts short-term mortality in critically ill patients after esophagectomy.Journal of gastrointestinal oncology · 2022Article
- The Change of Laboratory Tests Could Be Predictive Factors for Infection after McKeown Esophagogastrectomy.BioMed research international · 2019Article
- Perioperative Glycemic Control During Colorectal Surgery.Current diabetes reports · 2016Review
- Perioperative Hyperglycemia and Glucose Variability in Gynecologic Laparotomies.Journal of diabetes science and technology · 2015Observational
- Hyperglycemia 3 days after esophageal cancer surgery is associated with an increased risk of postoperative infection.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2014Article
- Intraoperative hyperglycemia during liver resection: predictors and association with the extent of hepatocytes injury.PloS one · 2014Article
- Perioperative hyperglycemia and postoperative infection after lower limb arthroplasty.Journal of diabetes science and technology · 2011Article
- Glucose metabolism in cardiovascular surgery.HSR proceedings in intensive care & cardiovascular anesthesia · 2010Article
- Surgical site infections following colorectal surgery in patients with diabetes: association with postoperative hyperglycemia.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2009Article
- Glucose variability and mortality in patients with sepsis.Critical care medicine · 2008Article
- Year in review in Critical Care, 2004: sepsis and multi-organ failure.Critical care (London, England) · 2005Review
- Tight blood glucose control: a recommendation applicable to any critically ill patient?Critical care (London, England) · 2004Article
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6 authors at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
introductionTreating hyperglycaemia in hospitalized patients has proven to be beneficial, particularly in those with obstructive vascular disease. In a cohort of patients undergoing resection for oesophageal carcinoma (a group of patients with severe surgical stress but a low prevalence of vascular disease), we investigated whether early postoperative hyperglycaemia is associated with increased incidence of infectious complications and prolonged in-hospital stay.
methodsPostoperative glucose values up to 48 hours after surgery were retrieved for 151 patients with American Society of Anesthesiologists class I or II who had been previously included in a randomized trial conducted in a tertiary referral hospital. Multivariate regression analysis was used to define the independent contribution of possible risk factors selected by univariate analysis.
resultsIn univariate regression analysis, postoperative glucose levels were associated with increased length of in-hospital stay (P < 0.001) but not with infectious complications (P = 0.21). However, postoperative glucose concentration was not found to be an independent risk factor for prolonged in-hospital stay in multivariate analysis (P = 0.20).
conclusionOur data indicate that postoperative hyperglycaemia is more likely to be a risk marker than a risk factor in patients undergoing highly invasive surgery for oesophageal cancer. We hypothesize that patients with a low prevalence of vascular disease may benefit less from intensive insulin therapy.
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