Evidence map›Paper›PMID 38951764›Full record

ArticleBMC anesthesiology2024

Postoperative hyperglycemia among adult non-diabetic surgical patients at University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia.

Eshetu Tesfaye Dejen, Misganaw Mengie Workie, Tadael Gudayu Zeleke, Biruk Adie Admass, Debas Yaregal Melesse, Tadesse Belayneh Melkie

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Article in BMC anesthesiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

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4citing papers in PubMed
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4 citing papers in PubMed.

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5 · Who and what money

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6 authors.

Eshetu Tesfaye DejenDepartment of Anesthesia, College of Medicine and Health Sciences, Bahar Dar University, Bahar Dar, Ethiopia.
Misganaw Mengie WorkieDepartment of Anesthesia, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia. mengiemisganaw@rocketmail.com.
Tadael Gudayu ZelekeDepartment of Anesthesia, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Biruk Adie AdmassDepartment of Anesthesia, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Debas Yaregal MelesseDepartment of Anesthesia, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Tadesse Belayneh MelkieDepartment of Anesthesia, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPostoperative hyperglycemia is associated with morbidity and mortality in non-diabetic surgical patients. However, there is limited information on the extent and factors associated with postoperative hyperglycemia. This study assessed the magnitude and associated factors of postoperative hyperglycemia among non-diabetic adult patients who underwent elective surgery at University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia.

methodsA facility-based cross-sectional study was conducted among 412 adult patients who underwent elective surgery at University of Gondar Comprehensive Specialized Hospital from April 14 to June 30, 2022 All consecutive postoperative non-diabetic elective surgical patients who were admitted to PACU during the data collection period and who fulfilled inclusion criteria were included in the study until the intended minimum sample size was achieved. And data were collected through interviews using a pretested semi-structured questionnaire. Postoperative hyperglycemia was defined as a blood glucose level of ≥ 140 mg/dl. Multivariable logistic regression was performed to identify the association between postoperative hyperglycemia and independent variables. Variables with a p-value less than 0.05 and a 95% confidence interval (CI) were considered statistically significant.

resultsA total of 405 patients' data were evaluated with a response rate of 98.3%. The median (IQR) age was 40 (28-52) years. The prevalence of postoperative hyperglycemia was 34.1% (95% CI: 29.4-39.0). Factors significantly associated with postoperative hyperglycemia included being overweight (AOR = 5.45, 95% CI: 2.46-12.0), American Society of Anesthesiologists (ASA) classification II and III (AOR = 2.37, 95% CI: 1.17-4.79), postoperative low body temperature (AOR = 0.18, 95% CI: 0.069-0.48), blood loss ≥ 500 ml (AOR = 2.33, 95% CI: 1.27-4.27), long duration of surgery, mild pain (AOR = 5.17, 95% CI: 1.32-20.4), and moderate pain (AOR = 7.63, 95% CI: 1.811-32.20). CONCLUSION AND RECOMMENDATION: One-third of the study participants had postoperative hyperglycemia. Weight, ASA classification, postoperative body temperature, duration of surgery, intraoperative blood loss, and postoperative pain were identified as a modifiable risk factors. Maintaining normal body temperature throughout the procedure, treating postoperative pain, and monitoring and controlling blood glucose level in patients at risk of hyperglycemia is crucial.

Indexed as

HyperglycemiaPostoperative ComplicationsAdultBlood GlucoseCross-Sectional StudiesElective Surgical ProceduresEthiopiaFemaleHospitals, UniversityHumansMaleMiddle AgedPrevalenceRisk FactorsBlood GlucoseBlood glucoseDysglycemiaInsulin resistanceNon-diabeticPostanesthesia care unit.Postoperative hyperglycemia

Identifiers

PMID38951764
PMCPMC11218226

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