مدیریت هیپرگلیسمی و دیابت در جراحی ارتوپدی / Management of Hyperglycemia and Diabetes in Orthopedic Surgery

مدیریت هیپرگلیسمی و دیابت در جراحی ارتوپدی Management of Hyperglycemia and Diabetes in Orthopedic Surgery

  • نوع فایل : کتاب
  • زبان : انگلیسی
  • ناشر : Springer
  • چاپ و سال / کشور: 2018

توضیحات

رشته های مرتبط پزشکی
گرایش های مرتبط جراحی ارتوپدی
مجله مدیریت بیمارستان دیابت – Hospital Management Of Diabetes
دانشگاه The Diabetes and Endocrine Center – Ipswich Hospital and University of Birmingham – UK

منتشر شده در نشریه اسپرینگر
کلمات کلیدی انگلیسی Diabetes mellitus, Hyperglycemia, Peri-operative glucose, Orthopedic surgery, Arthroplasty

Description

Introduction The global prevalence and incidence of diabetes is steadily rising in all populations and at the current rate the International Diabetes Foundation (IDF) estimates a prevalence of 9.9% worldwide by 2030. With population growth, this represents a 50.7% increase in people affected over a 19-year period [1]. A person with diabetes is more likely to require surgery than a person without and this is particularly notable for orthopedic surgery, which has seen an overall increase in procedures in this population as a whole [2]. Observational studies show that in the surgical patient, diabetes is associated with a higher rate of peri-operative complications such as need for transfusion, pneumonia, delayed discharge, surgical site infections, and in-hospital mortality [3]. These poorer outcomes are in part due to higher rates of co-morbid conditions such as ischemic heart disease, renal impairment, and hypertension in patients with diabetes [4]. Dysglycemia, which encompasses hyperglycemia, hypoglycemia, stress-induced hyperglycemia, and excessive glucose variability, is increasingly observed and associated with poorer post-operative outcomes even in those without a prior diagnosis of diabetes. In fact, several studies have shown postoperative complications occur more frequently in people with stress-induced hyperglycemia with no prior diagnosis of diabetes than in those with diabetes [5–7].
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