Post-surgical DKA stems from poor glycemic control prior to surgery and perioperative catecholamine usage: unmatched case–control study
Main finding · Poor glycemic control (HbA1C ≥7%)Result — go to the resultOdds ratio 48.2 95% CI 12.1–267.4Authors' conclusion
Post-surgical DKA was ascribed to poor glycemic control. The usage of catecholamine during surgery associated with postsurgical DKA
Study context
- Population
- Adult post-surgical ICU admissions, King Saud Medical City, Riyadh, Saudi Arabia, March 2019–December 2022
- Participants
- 57 vs 114
- Comparison
- Post-surgical DKA cases vs post-surgical ICU controls without DKA
- Casesn = 57
- Controlsn = 114reference
- Outcome
- Poor glycemic control before surgery (HbA1C ≥7%)
Methodological detailssingle-centre
- Single-centre
Main finding
Poor glycemic control (HbA1C ≥7%)
Odds ratio
48.2
95% CI 12.1–267.4
P < 0.001
Cases vs Controls
OR 48.2 (95% CI 12.1–267.4); P < 0.001
As reported in the abstract
Further findings
| Outcome | OR (95% CI) | P value | |
|---|---|---|---|
| Poor glycemic control, age- and sex-matched pairs (sensitivity analysis)54 matched pairs | 48.6 (12.1–267.4) | P < 0.001 | |
| 0.050.21520Odds ratio (log scale) |
Independent predictors of postoperative DKA (multivariable logistic regression)
- Intraoperative catecholamine and insulin use and prolonged surgery duration were significant predictors
- P < 0.05
Original publication
Post-surgical DKA stems from poor glycemic control prior to surgery and perioperative catecholamine usage: unmatched case–control study. Perioper Med (Lond). Published 28 March 2026. doi:10.
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