1型或2型糖尿病患儿糖化血红蛋白与术后并发症之间不存在关联。
Lack of Association of A1C With Postoperative Complications in Children With Type 1 or Type 2 Diabetes.
作者信息
Kim Grace, Richards McKenna C, Smith Abigail B, Strybos Kathleen M, Huang Xiaofan, Staggers Kristen, Stayer Stephen A, Baijal Rahul G
机构信息
Department of Pediatrics, Division of Diabetes and Endocrinology, Baylor College of Medicine, Texas Children's Hospital, Houston, TX.
Baylor College of Medicine, Houston, TX.
出版信息
Clin Diabetes. 2024 Winter;42(1):65-73. doi: 10.2337/cd23-0002. Epub 2023 Aug 1.
Abstract
Not meeting recommended A1C targets may be associated with postoperative complications in adults, but there are no studies reporting on the relationship between preoperative A1C and postoperative complications in children with type 1 or type 2 diabetes. The objective of this study was to determine whether elevated A1C levels were associated with an increased incidence of postoperative complications in children with diabetes presenting for elective noncardiac surgery or diagnostic procedures. It found no such association, suggesting no need to delay elective surgery in children with diabetes until A1C is optimized.
摘要
未达到推荐的糖化血红蛋白（A1C）目标可能与成人术后并发症有关，但尚无研究报告1型或2型糖尿病儿童术前A1C与术后并发症之间的关系。本研究的目的是确定A1C水平升高是否与接受择期非心脏手术或诊断性操作的糖尿病儿童术后并发症发生率增加有关。研究未发现这种关联，这表明无需将糖尿病儿童的择期手术推迟到A1C达到最佳水平之后。
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