术前就医时间与血糖控制不佳的糖尿病患者手术日血糖之间的关系。
Relationship between the timing of preoperative medical visits and day-of-surgery glucose in poorly controlled diabetes.
作者信息
Patel Salma I, Thompson Bithika M, McLemore Ryan Y, Temkit M'hamed, Schlinkert Richard T, Apsey Heidi A, Cook Curtiss B
机构信息
Mayo Clinic, 13400 E Shea Blvd, Scottsdale, AZ 85259, USA; Mayo Clinic, 13400 E Shea Blvd, Scottsdale, AZ 85259, USA.
Mayo Clinic Hospital, 5777 E Mayo Blvd, Phoenix, AZ 85054, USA; Mayo Clinic Hospital, 5777 E Mayo Blvd, Phoenix, AZ 85054, USA.
出版信息
Future Sci OA. 2016 Jun 2;2(2):FSO123. doi: 10.4155/fsoa-2016-0009. eCollection 2016 Jun.
BACKGROUND
This study evaluated referral patterns for preoperative evaluations of patients with poorly controlled diabetes mellitus (DM) and determined whether intervals between evaluations and surgery day were associated with preoperative glucose levels.
RESULTS/METHODOLOGY: In this retrospective analysis of DM patients with a hemoglobin A level greater than 8.0%, of the 163 patients who underwent preoperative medical evaluation, only 45% were evaluated by endocrinology. Patients who had surgery earlier than 10 days after the preoperative medical evaluation had preoperative glucose levels 18% higher than those of patients who waited more than 10 days. Preoperative outpatient contact with endocrinology was not associated with preoperative glucose level (p = 0.90).
CONCLUSION
For poorly controlled DM, more than 10 days are needed to achieve preoperative glycemic control.
背景
本研究评估了糖尿病控制不佳患者术前评估的转诊模式，并确定评估与手术日之间的间隔是否与术前血糖水平相关。
结果/方法：在这项对糖化血红蛋白水平大于8.0%的糖尿病患者的回顾性分析中，163例接受术前医学评估的患者中，只有45%由内分泌科进行评估。术前医学评估后10天内接受手术的患者，其术前血糖水平比等待超过10天的患者高18%。术前门诊与内分泌科的接触与术前血糖水平无关（p = 0.90）。
结论
对于糖尿病控制不佳的患者，需要超过10天才能实现术前血糖控制。
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