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Acta médica Grupo Ángeles
versión impresa ISSN 1870-7203
Resumen
ZHOU, Xiaojin; PORTELA ORTIZ, José Manuel; ZARAGOZA LEMUS, Guadalupe y OCAMPO VALENCIA, Delia Brenda Paola. Preoperative hyperglycemia in patients without diabetes mellitus subjected to elective surgeries. Acta méd. Grupo Ángeles [online]. 2021, vol.19, n.4, pp.506-509. Epub 01-Ago-2022. ISSN 1870-7203. https://doi.org/10.35366/102536.
Introduction:
Hyperglycemia can increase perioperative morbidity and mortality. Therefore, its timely recognition favors a better surgical result. Patients with hyperglycemia are more likely to be hospitalized than those without diabetes, as many of these patients are not diagnosed prior to hospitalization.
Objective:
To determine the incidence of preoperative hyperglycemia in patients who do not have a diagnosis of diabetes mellitus.
Material and methods:
Patients with ASA 1 and 2, age ˃ 18 years, elective surgery were included. An observational, prospective, cross-sectional study was carried out. Preoperative capillary glycemia was recorded. Data collection is expressed in averages and percentages.
Results:
509 patients with ASA 1 and 2 of which 116 patients (22.7%) were excluded. Patients included 393 (n = 393). 106 patients with preoperative hyperglycemia (27%) were identified and eight patients (7.54%) with glycemia ≥ 126 mg/dL were found, mean hyperglycemia was 94 mg/dL ± 14.2. Is subdivided hyperglycemic patients by age group, and the incidence of hyperglycemia increases with age.
Conclusions:
In this study, hyperglycemia was present in 17.7% of patients of 18-40 years and up to 62% in patients more than 80 years without DM. The determination of glucose must be considered as an efficient preoperative test.
Palabras llave : Preoperative hyperglycemia; diabetes mellitus; elective surgery.