caa a22 4500 605457093 CHVBK 20210128100221.0 cr unu---uuuuu 210128e20150701xx s 000 0 eng 10.1007/s00167-014-2907-7 doi (NATIONALLICENCE)springer-10.1007/s00167-014-2907-7 Perioperative hyperglycaemia and incidence of post-operative complications in patients undergoing total knee arthroplasty [Elektronische Daten] [Diego Reátegui, Gerard Sanchez-Etayo, Esther Núñez, Monserrat Tió, Dragos Popescu, Monserrat Núñez, Luis Lozano] 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. Springer-Verlag Berlin Heidelberg, 2014 Total knee arthroplasty nationallicence Diabetes mellitus nationallicence Hyperglycaemia nationallicence Complications nationallicence Reátegui Diego Trauma and Orthopedics Department, Hospital Clinic, Barcelona, Spain aut Sanchez-Etayo Gerard Anesthesiologic Department, Hospital Clinic, Barcelona, Spain aut Núñez Esther Institut Català de la Salut, Barcelona, Spain aut Tió Monserrat Anesthesiologic Department, Hospital Clinic, Barcelona, Spain aut Popescu Dragos Knee Unit, Trauma and Orthopedics Department, Hospital Clinic, Barcelona, Spain aut Núñez Monserrat Reumathology Department, Hospital Clinic, Barcelona, Spain aut Lozano Luis Knee Unit, Trauma and Orthopedics Department, Hospital Clinic, Barcelona, Spain aut Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/7(2015-07-01), 2026-2031 0942-2056 23:7<2026 2015 23 167 https://doi.org/10.1007/s00167-014-2907-7 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00167-014-2907-7 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Reátegui Diego Trauma and Orthopedics Department, Hospital Clinic, Barcelona, Spain aut NATIONALLICENCE 700 1- Sanchez-Etayo Gerard Anesthesiologic Department, Hospital Clinic, Barcelona, Spain aut NATIONALLICENCE 700 1- Núñez Esther Institut Català de la Salut, Barcelona, Spain aut NATIONALLICENCE 700 1- Tió Monserrat Anesthesiologic Department, Hospital Clinic, Barcelona, Spain aut NATIONALLICENCE 700 1- Popescu Dragos Knee Unit, Trauma and Orthopedics Department, Hospital Clinic, Barcelona, Spain aut NATIONALLICENCE 700 1- Núñez Monserrat Reumathology Department, Hospital Clinic, Barcelona, Spain aut NATIONALLICENCE 700 1- Lozano Luis Knee Unit, Trauma and Orthopedics Department, Hospital Clinic, Barcelona, Spain aut NATIONALLICENCE 773 0- Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/7(2015-07-01), 2026-2031 0942-2056 23:7<2026 2015 23 167