Asociación hiperglucemia postoperatoria con complicaciones postoperatorias. Pacientes mayores de 40 años. Hospital José Carrasco Arteaga - 2019

Abstract

The American Diabetes Association recognizes that a postoperative hyperglycemia greater than or equal to 180 mg/dL is associated with an increased rate of postoperative infections and hospitalization costs. Preoperative and postoperative hyperglycemia are a negative but modifiable factor for the patient after surgery patients. OBJECTIVE To determine the association between postoperative hyperglycemia and complications in patients older than 40 years at the José Carrasco Arteaga Hospital in 2019. METHODS AND MATERIALS An observational, analytic, transversal, retrospective study was conducted, including clinical histories of patients 40 years and above who entered general surgery at the José Carrasco Arteaga Hospital in 2019. The data collected with Epi Info forms was analyzed and codified with IBM SPSS V.25 educational license, using number, frequencies and percentage, arithmetic mean and standard deviation. In the analysis of bivariate data, we used the Chi-square to estimate statistically significant differences when p < 0.05. The prevalence ratio with a 95% confidence interval was used to determine the association between variables. RESULTS We found a mean of 64 years (13 years); 55,1% of the participants are of masculine gender. The prevalence of preoperative hyperglycemia was 28,1% and of postoperative hyperglycemia was 11,5%. A statistically significant association was found between postoperative complications and masculine gender (p 0.008), the presence of comorbidities (p 0.000), preoperative hyperglycemia (p 0.000) and postoperative hyperglycemia (p 0.003). CONCLUSIONS A statistically significant association was found between postoperative complications and masculine gender, the presence of comorbidities, preoperative hyperglycemia and postoperative hyperglycemia (p 0.003).