Evidence map›Paper›PMID 39415173›Full record

ArticleJournal of orthopaedic surgery and research2024

The predictive value of stress-induced hyperglycemia parameters for delayed healing after tibial fracture post-surgery.

Xiang Ji, Dunxu Zhao, Zetuan Xin, Hai Feng, Zhiyong Huang

Abstract read
In one paragraph

Article in Journal of orthopaedic surgery and research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

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29citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed.

  1. Review
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  4. let-7c-5p promotes fracture healing by downregulating CDK8.Journal of orthopaedic surgery and research · 2026
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  13. LINC00341 promotes fracture healing through downregulation of miR-133a-3p.Journal of orthopaedic surgery and research · 2025
    Article
  14. Article
  15. MiR-376a-3p inhibits bone repair by regulating osteoblastic differentiation.Journal of orthopaedic surgery and research · 2025
    Article
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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Xiang JiDepartment of Orthopaedic Trauma, Qingdao Chengyang District People's Hospital, No.600, Great Wall Road, Chengyang District, Qingdao city, Shandong Province, 266109, China.
Dunxu ZhaoDepartment of Orthopaedic Trauma, Qingdao Chengyang District People's Hospital, No.600, Great Wall Road, Chengyang District, Qingdao city, Shandong Province, 266109, China.
Zetuan XinDepartment of Orthopaedic Trauma, Qingdao Chengyang District People's Hospital, No.600, Great Wall Road, Chengyang District, Qingdao city, Shandong Province, 266109, China.
Hai FengDepartment of Orthopaedic Trauma, Qingdao Chengyang District People's Hospital, No.600, Great Wall Road, Chengyang District, Qingdao city, Shandong Province, 266109, China.
Zhiyong HuangDepartment of Orthopaedic Trauma, Qingdao Chengyang District People's Hospital, No.600, Great Wall Road, Chengyang District, Qingdao city, Shandong Province, 266109, China. Hzhiyong1963@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe objective of this retrospective cohort study was to investigate the predictive value of stress-induced hyperglycemia parameters for delayed healing after tibial fracture post-surgery.

methodsA cohort of 108 participants who underwent surgical intervention for tibial fractures caused by trauma was included in this retrospective study. Data collected from electronic medical records encompassed demographic characteristics, bone healing assessments, stress-induced hyperglycemia parameters, inflammatory markers, and stress-related hormones. Comparative analyses, correlation analyses, univariate logistic regression analyses, and receiver operating characteristic (ROC) curve analyses were conducted to assess the predictive value of the studied parameters.

resultsThe delayed healing group exhibited higher levels of fasting blood glucose, postprandial glucose, and HbA1c, as well as elevated levels of inflammatory markers and stress-related hormones compared to the normal healing group. Correlation analysis and logistic regression demonstrated positive associations between stress-induced hyperglycemia parameters, inflammatory markers, stress-related hormones, and delayed union of tibial fractures (R2: 0.183 ~ 0.403;OR: 1.091 ~ 16.332). ROC curve analysis revealed high area under the curve (AUC = 0.911) values for stress-induced hyperglycemia parameters, indicating their potential as predictive markers for delayed healing. Multivariate regression analysis further substantiated the predictive capability of stress-induced hyperglycemia parameters.

conclusionThe study findings highlight the complex interplay between stress-induced hyperglycemia, inflammatory response, and bone healing outcomes in patients undergoing surgical intervention for tibial fractures. The identification of stress-induced hyperglycemia parameters as potential predictive markers for delayed healing after tibial fracture surgery offers insights for risk assessment and patient management, emphasizing the need for comprehensive understanding of these factors to optimize postoperative recovery in orthopedic patients.

Indexed as

Fracture HealingHyperglycemiaPredictive Value of TestsTibial FracturesAdultAgedBiomarkersBlood GlucoseCohort StudiesFemaleHumansMaleMiddle AgedPostoperative ComplicationsRetrospective StudiesStress, PhysiologicalBiomarkersBlood GlucoseDelayed healingPredictiveStress-induced hyperglycemiaTibial fracture

Identifiers

PMID39415173
PMCPMC11484393

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.