Intensive postoperative glucose control reduces the surgical site infection rates in gynecologic oncology patients.

ABSTRACT:

Objective

SSI rates after gynecologic oncology surgery vary from 5% to 35%, but are up to 45% in patients with diabetes mellitus (DM). Strict postoperative glucose control by insulin infusion has been shown to lower morbidity, but not specifically SSI rates. Our project studied continuous postoperative insulin infusion for 24h for gynecologic oncology patients with DM and hyperglycemia with a target blood glucose of <139 mL/dL and a primary outcome of the protocol's impact on SSI rates.

Methods

We compared SSI rates retrospectively among three groups. Group 1 was composed of patients with DM whose blood glucose was controlled with intermittent subcutaneous insulin injections. Group 2 was composed of patients with DM and postoperative hyperglycemia whose blood glucose was con

SUBMITTER: Al-Niaimi AN 

PROVIDER: S-EPMC4755696 | biostudies-literature | 2015 Jan

REPOSITORIES: biostudies-literature