Perioperative hyperglycaemia and incidence of post-operative complications in patients undergoing total knee arthroplasty
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| 024 | 7 | 0 | |a 10.1007/s00167-014-2907-7 |2 doi |
| 035 | |a (NATIONALLICENCE)springer-10.1007/s00167-014-2907-7 | ||
| 245 | 0 | 0 | |a Perioperative hyperglycaemia and incidence of post-operative complications in patients undergoing total knee arthroplasty |h [Elektronische Daten] |c [Diego Reátegui, Gerard Sanchez-Etayo, Esther Núñez, Monserrat Tió, Dragos Popescu, Monserrat Núñez, Luis Lozano] |
| 520 | 3 | |a Purpose: The aim of this study was to assess whether hyperglycaemia in the post-operative period of total knee arthroplasty (TKA) affects post-operative complications regardless of diabetes mellitus (DM) diagnosis. Methods: All patients who had undergone primary TKA were included in the study. The following data were recorded: DM diagnosis, and pre- (BGL1), intra- (BGL2) and post-operative blood glucose levels (BGL3). After 1-year follow-up, medical, infectious and mechanical or surgery-related complications were recorded. Results: Of the 833 patients included, 130 (15.6%) were diabetic. Median BGL1, BGL2 and BGL3 were 106.13, 93.49 and 134.16mg/dl, respectively. After follow-up, 173 (20.8%) patients presented complications, including 48 (5.76%) medical complications and 94 (11.28%) infections. Surgery-related complications presented in 31 (3.72%) patients. A statistically significant association was found between BGL3≥126mg/dl and complications (OR 1.95, p<0.001), medical complications (OR 3.98, p<0.001), and infections (OR 1.76, p<0.006). Conclusions: Hyperglycaemia during the post-operative period in diabetic and non-diabetic patients undergoing TKA increases post-operative medical and infectious complications. Glycemic control during this period must be performed in order to reduce these complications. Level of evidence: Retrospective case series, Level IV. | |
| 540 | |a Springer-Verlag Berlin Heidelberg, 2014 | ||
| 690 | 7 | |a Total knee arthroplasty |2 nationallicence | |
| 690 | 7 | |a Diabetes mellitus |2 nationallicence | |
| 690 | 7 | |a Hyperglycaemia |2 nationallicence | |
| 690 | 7 | |a Complications |2 nationallicence | |
| 700 | 1 | |a Reátegui |D Diego |u Trauma and Orthopedics Department, Hospital Clinic, Barcelona, Spain |4 aut | |
| 700 | 1 | |a Sanchez-Etayo |D Gerard |u Anesthesiologic Department, Hospital Clinic, Barcelona, Spain |4 aut | |
| 700 | 1 | |a Núñez |D Esther |u Institut Català de la Salut, Barcelona, Spain |4 aut | |
| 700 | 1 | |a Tió |D Monserrat |u Anesthesiologic Department, Hospital Clinic, Barcelona, Spain |4 aut | |
| 700 | 1 | |a Popescu |D Dragos |u Knee Unit, Trauma and Orthopedics Department, Hospital Clinic, Barcelona, Spain |4 aut | |
| 700 | 1 | |a Núñez |D Monserrat |u Reumathology Department, Hospital Clinic, Barcelona, Spain |4 aut | |
| 700 | 1 | |a Lozano |D Luis |u Knee Unit, Trauma and Orthopedics Department, Hospital Clinic, Barcelona, Spain |4 aut | |
| 773 | 0 | |t Knee Surgery, Sports Traumatology, Arthroscopy |d Springer Berlin Heidelberg |g 23/7(2015-07-01), 2026-2031 |x 0942-2056 |q 23:7<2026 |1 2015 |2 23 |o 167 | |
| 856 | 4 | 0 | |u https://doi.org/10.1007/s00167-014-2907-7 |q text/html |z Onlinezugriff via DOI |
| 898 | |a BK010053 |b XK010053 |c XK010000 | ||
| 900 | 7 | |a Metadata rights reserved |b Springer special CC-BY-NC licence |2 nationallicence | |
| 908 | |D 1 |a research-article |2 jats | ||
| 949 | |B NATIONALLICENCE |F NATIONALLICENCE |b NL-springer | ||
| 950 | |B NATIONALLICENCE |P 856 |E 40 |u https://doi.org/10.1007/s00167-014-2907-7 |q text/html |z Onlinezugriff via DOI | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Reátegui |D Diego |u Trauma and Orthopedics Department, Hospital Clinic, Barcelona, Spain |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Sanchez-Etayo |D Gerard |u Anesthesiologic Department, Hospital Clinic, Barcelona, Spain |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Núñez |D Esther |u Institut Català de la Salut, Barcelona, Spain |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Tió |D Monserrat |u Anesthesiologic Department, Hospital Clinic, Barcelona, Spain |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Popescu |D Dragos |u Knee Unit, Trauma and Orthopedics Department, Hospital Clinic, Barcelona, Spain |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Núñez |D Monserrat |u Reumathology Department, Hospital Clinic, Barcelona, Spain |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Lozano |D Luis |u Knee Unit, Trauma and Orthopedics Department, Hospital Clinic, Barcelona, Spain |4 aut | ||
| 950 | |B NATIONALLICENCE |P 773 |E 0- |t Knee Surgery, Sports Traumatology, Arthroscopy |d Springer Berlin Heidelberg |g 23/7(2015-07-01), 2026-2031 |x 0942-2056 |q 23:7<2026 |1 2015 |2 23 |o 167 | ||