Type 2 & other diabetes

Postoperative Length of Stay in Patients With Stress Hyperglycemia Compared to Patients With Diabetic Hyperglycemia: A Retrospective Cohort Study

J Diabetes Sci TechnolPublished Retrospective cohort study

Authors' conclusion

Postoperative LOS was even longer in patients with SH than in patients with DH, representing a potential target for quality improvement efforts. We did not, however, find evidence that improved treatment of SH was associated with reduction in LOS.

Study context

Population
Inpatients after noncardiac surgery with at least two glucose measurements ≥180 mg/dL
Participants
270 inpatients
Exposure
Stress hyperglycemia vs diabetic hyperglycemia after noncardiac surgery
  • Stress hyperglycemia (SH)n = 82
  • Diabetic hyperglycemia (DH)n = 188reference
Outcome
Hospital LOS

Main finding

As reported in the abstract

P = 0.03

Observational data: associations, not effects.

Further findings

Association of length of stay (LOS) with treatment factors within SH

No association between LOS and prompt treatment of hyperglycemia within 12 hours
P = 0.43
No association between LOS and insulin dose per day
P = 0.89
No association between LOS and overall mean glucose
P = 0.13

Original publication

Postoperative Length of Stay in Patients With Stress Hyperglycemia Compared to Patients With Diabetic Hyperglycemia: A Retrospective Cohort Study. J Diabetes Sci Technol. Published 26 February 2024. doi:10.1177/19322968241232695

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