Early post-operative glucose levels are an independent risk factor for infection after peripheral vascular surgery. A retrospective study

98Citations
Citations of this article
21Readers
Mendeley users who have this article in their library.

Abstract

Objective. To evaluate whether hyperglycaemia in the first 48 h after infrainguinal vascular surgery is a risk factor for post-operative infection, independent from factors associated with insulin resistance and surgical stress. Design. Retrospective cohort study. Patients and methods. Patients who underwent infrainguinal vascular surgery in our hospital between March 1998 and March 2003 were included. Glucose values until 48 h after surgery were retrieved from laboratory reports. Post-operative infections, treated with antibiotics, during hospital stay were scored until 30 days after surgery. Data were analysed with univariate and multivariate logistic regression analyses. Results. At least one post-operative glucose value was retrieved for 211/275 (77%) patients. The incidence of post-operative infections was 84/275 (31%). When corrected for factors associated with insulin resistance and surgical stress, post-operative glucose levels were found to be an independent risk factor for post-operative infections (odds ratio top quartile versus lowest quartile: 5.1; 95% confidence interval: 1.6-17.1; P=0.007). Conclusion. Post-operative glucose levels appear to be an independent risk factor for infections after infrainguinal vascular surgery. This finding requires confirmation in a prospective study. © 2004 Elsevier Ltd. All rights reserved.

Cite

CITATION STYLE

APA

Vriesendorp, T. M., Morélis, Q. J., DeVries, J. H., Legemate, D. A., & Hoekstra, J. B. L. (2004). Early post-operative glucose levels are an independent risk factor for infection after peripheral vascular surgery. A retrospective study. European Journal of Vascular and Endovascular Surgery, 28(5), 520–525. https://doi.org/10.1016/j.ejvs.2004.08.006

Register to see more suggestions

Mendeley helps you to discover research relevant for your work.

Already have an account?

Save time finding and organizing research with Mendeley

Sign up for free