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Preoperative insulin resistance reduces complications after hip replacement surgery in non-diabetic patients.


ABSTRACT: Insulin resistance negatively affects the outcome of surgery in patients with type 2 diabetes. This association is often believed to be present in other patient populations as well, but studies are lacking on the influence of preoperative insulin resistance on the clinical course of surgery in non-diabetic patients.Sixty non-diabetic patients with a mean age of 68 years underwent a 75-min intravenous glucose tolerance test (IVGTT) one day before and after elective hip replacement surgery. Patients were regarded to be either insulin resistant (< median insulin sensitivity) or not (> median insulin sensitivity). Hypotensive events occurring in the postoperative care unit and complications in the orthopedic ward were recorded. Fatigue and well-being were assessed via questionnaires.A total of 52 patients were included in the final analysis. Insulin resistance before surgery was associated with a lower risk of arterial hypotension in the postoperative care unit (systolic pressure?

SUBMITTER: Hahn RG 

PROVIDER: S-EPMC4175089 | biostudies-literature | 2013 Nov

REPOSITORIES: biostudies-literature

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Preoperative insulin resistance reduces complications after hip replacement surgery in non-diabetic patients.

Hahn Robert G RG   Ljunggren Stefan S  

BMC anesthesiology 20131104 1


<h4>Background</h4>Insulin resistance negatively affects the outcome of surgery in patients with type 2 diabetes. This association is often believed to be present in other patient populations as well, but studies are lacking on the influence of preoperative insulin resistance on the clinical course of surgery in non-diabetic patients.<h4>Methods</h4>Sixty non-diabetic patients with a mean age of 68 years underwent a 75-min intravenous glucose tolerance test (IVGTT) one day before and after elect  ...[more]

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