Perioperative medicine & outcomes
Continuous peri-operative glucose monitoring in noncardiac surgery: A systematic review
Authors' conclusion
Due to the limited number of controlled studies, the impact of CGM on postoperative glycaemic control and complications compared with point-of-care testing remains unknown.
Study context
- Population
- Patients with a continuous glucose monitoring (CGM) device during the peri-operative period in noncardiac surgery (closed-loop insulin systems excluded)
- Participants
- 1,016 patients · 26 studies
- Comparison
- Diabetes mellitus, bariatric surgery vs Diabetes mellitus, major surgery vs Nondiabetes mellitus
- Outcome
- Glycaemic profile (normal range 3.9 to 10.0 mmol l −1)
Pooled result
As reported in the abstract
Glycaemic profile (mean glucose; % time below, in and above range)
| Group | Value | Time below range | Time in range | Time above range |
|---|---|---|---|---|
| Diabetes mellitus, bariatric surgery | mean 5.6 (SD 0.5) mmol l −1 | 15.4 ± 8.6% | 75.3 ± 5.5% | 9.6 ± 6.7% |
| Diabetes mellitus, major surgery | mean 9.6 (SD 1.1) mmol l −1 | 9.5 ± 9.1% | 56.3 ± 13.5% | 30.6 ± 13.9% |
| Nondiabetes mellitus | mean 6.4 (SD 0.6) mmol l −1 | 6.7 ± 8.4% | 84.6 ± 15.5% | 11.2 ± 4.9% |
Value
Diabetes mellitus, bariatric surgerymean 5.6 (SD 0.5) mmol l −1
Diabetes mellitus, major surgerymean 9.6 (SD 1.1) mmol l −1
Nondiabetes mellitusmean 6.4 (SD 0.6) mmol l −1
Time below range
Diabetes mellitus, bariatric surgery15.4 ± 8.6%
Diabetes mellitus, major surgery9.5 ± 9.1%
Nondiabetes mellitus6.7 ± 8.4%
Time in range
Diabetes mellitus, bariatric surgery75.3 ± 5.5%
Diabetes mellitus, major surgery56.3 ± 13.5%
Nondiabetes mellitus84.6 ± 15.5%
Time above range
Diabetes mellitus, bariatric surgery9.6 ± 6.7%
Diabetes mellitus, major surgery30.6 ± 13.9%
Nondiabetes mellitus11.2 ± 4.9%
Further pooled results
Peri-operative complications
- Reported in only one comparative study; similar in CGM and control groups
Safety
Device dysfunction (accidental removal, sensor or reader issues)
- Cases with device dysfunction
- 9.21%
Device-related adverse events
- Rare and underreported
Original publication
Continuous peri-operative glucose monitoring in noncardiac surgery: A systematic review. Eur J Anaesthesiol. Published 7 November 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →