Perioperative medicine & outcomes
Glycemic profile and quality of recovery after emergency abdominal surgery–A prospective explorative cohort study
Authors' conclusion
Alterations in the glycemic profile are frequent and prolonged during the first postoperative month after major surgery probably due to peripheral insulin resistance.
Study context
- Population
- Nondiabetic adults after acute, major abdominal surgery27 completed per protocol
- Outcome
- Association between 30-day glycemic profile metrics (continuous glucose measurement) and patient-reported recovery (Quality of Recovery-15)
- Follow-up
- POD 10, 20 and 30
Methodological detailsexplorative
- Explorative
Main finding
As reported in the abstract
Recovery score vs coefficient of variation of glucose · During 30 days of follow-up
Recovery score estimate, coefficient of variation measured 3 days before assessment (p < .001)
−1.52
Recovery score estimate, coefficient of variation measured 5 days before assessment (p = .006)
−0.92
Observational data: associations, not effects.
Further findings
Hyperglycemic event (>200 mg/dl) · first three postoperative days
- Patients with hyperglycemic event: 18 of 27
- 67%
Coefficient of variation vs reference period (days 26-30)
- Significantly increased during all time intervals
Original publication
Glycemic profile and quality of recovery after emergency abdominal surgery–A prospective explorative cohort study. Acta Anaesthesiol Scand. Published 5 January 2023. doi:10.
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