Impact of HbA1c level on perioperative hemodynamics, recovery room stay and postoperative discharge time in diabetic patients undergoing total hip arthroplasty
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引用次数: 2
Abstract
Background & aim
Diabetic patients are susceptible for surgical site infections, periprosthetic infections, and increased hospital stay. Present study was aimed to determine the influence of HBA1c level on perioperative hemodynamic, recovery room stay and postoperative discharge times in patient undergoing total hip arthroplasty.
Methods
After institutional ethical clearance, this prospective, observational, study was conducted on 70 diabetic patients aged 18–65 years of either sex. Patients under study were enrolled into either group A (<7.5 HbA1c) or group B (≥7.5 HbA1c). On the morning of surgery fasting blood sugar and serum potassium levels were checked. Random blood sugar (RBS) at time of incision, at the time of closure, and postoperatively at 6, 12, 18, and 24 h were measured. Intraoperative hemodynamic variables, recovery room stay and hospital stay times were noted.
Results
Association of hypertension (p value 0.001), gm intake (p value 0.003), post-operative blood glucose levels (p value < 0.001), duration of recovery room stay and total duration of hospital stay were found significantly higher in group B (p value < 0.001). Surgical site infection (SSI), duration of illness, ECG changes, and postoperative complications were not significant. Although incidence of SSI was more in group B (p value 0.303).
Conclusion
Diabetic patients, not on insulin therapy, with no renal impairment, with ASA grading II-III, and with no other contraindication for spinal anaesthesia; 7.5% can be used as a new cut-off for level of HbA1c for total hip arthroplasty.
期刊介绍:
Journal of Arthroscopy and Joint Surgery (JAJS) is committed to bring forth scientific manuscripts in the form of original research articles, current concept reviews, meta-analyses, case reports and letters to the editor. The focus of the Journal is to present wide-ranging, multi-disciplinary perspectives on the problems of the joints that are amenable with Arthroscopy and Arthroplasty. Though Arthroscopy and Arthroplasty entail surgical procedures, the Journal shall not restrict itself to these purely surgical procedures and will also encompass pharmacological, rehabilitative and physical measures that can prevent or postpone the execution of a surgical procedure. The Journal will also publish scientific research related to tissues other than joints that would ultimately have an effect on the joint function.