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J Orthop Res. 2021 Oct 21; doi: 10.1002/jor.25202. Epub 2021 Oct 21.

Establishing a recommended duration of blood glucose monitoring in nondiabetic patients following orthopaedic surgery.

Journal of orthopaedic research : official publication of the Orthopaedic Research Society

Todd M O'Brien, Shayan Hosseinzadeh, Antonia F Chen, Kimberly I Verrier, Christopher M Melnic, Tyler J Humphrey, Hany S Bedair

Affiliations

  1. Department of Orthopaedics, Harvard Medical School, Massachusetts General Hospital, Boston, Massachusetts, USA.
  2. Department of Orthopaedics, Brigham and Women's Hospital, Boston, Massachusetts, USA.

PMID: 34674307 DOI: 10.1002/jor.25202

Abstract

Previous studies have demonstrated that blood glucose (BG) levels should be monitored for at least 1 week after orthopaedic surgery in diabetic patients, but no study has determined how long nondiabetic patients should be monitored. As postoperative elevations in BG have deleterious effects, determining a duration for monitoring the BG of nondiabetic patients after major orthopaedic surgery is needed to detect hyperglycemic events, create comprehensive protocols for nondiabetic orthopaedic patients, and reduce adverse outcomes. A retrospective study was conducted including consecutive patients who underwent a major orthopaedic surgery at a community hospital. A BG level of 150 mg/dl was the cutoff used to define hyperglycemia according to our institutional guidelines. A χ

© 2021 Orthopaedic Research Society. Published by Wiley Periodicals LLC.

Keywords: blood glucose monitoring; care protocol; diabetes; inpatient; patient outcomes

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