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首页> 外文期刊>Journal of orthopaedic research >Establishing a recommended duration of blood glucose monitoring in nondiabetic patients following orthopaedic surgery
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Establishing a recommended duration of blood glucose monitoring in nondiabetic patients following orthopaedic surgery

机译：Establishing a recommended duration of blood glucose monitoring in nondiabetic patients following orthopaedic surgery

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Abstract Previous studies have demonstrated that blood glucose (BG) levels should be monitored for at least 1 week after orthopaedic surgery in diabetic patients, but no study has determined how long nondiabetic patients should be monitored. As postoperative elevations in BG have deleterious effects, determining a duration for monitoring the BG of nondiabetic patients after major orthopaedic surgery is needed to detect hyperglycemic events, create comprehensive protocols for nondiabetic orthopaedic patients, and reduce adverse outcomes. A retrospective study was conducted including consecutive patients who underwent a major orthopaedic surgery at a community hospital. A BG level of 150?mg/dl was the cutoff used to define hyperglycemia according to our institutional guidelines. A χ2, analysis of variance, and subgroup analysis were performed separately. Greater than 67 of nondiabetic patients experienced a high BG level (>150?mg/dl) after surgery. We found that nondiabetic patients reached their postoperative maximum BG level at 20?h, which was sooner compared to diabetic patients. We discovered more than 92 of nondiabetic patients reached a maximum BG levels within the first 72?h of hospitalization, while the BG levels after this period were found to be within normal limits in greater than 87 of cases. We propose that BG management be instituted in nondiabetics from the preoperative period to 72?h after surgery, including patients who are same‐day discharges. There may not be a need to continue inpatient BG monitoring beyond the first 72?h for nondiabetic hospitalized patients with extended hospitalizations.

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