Association of immediate preoperative hyperglycemia with postoperative pulmonary complications in patients with diabetes mellitus following video-assisted thoracoscopic partial lung surgery
10.3760/cma.j.cn131073-20240520-00206
- VernacularTitle:糖尿病患者术前即刻高血糖与胸腔镜肺部分切除术后肺部并发症的关系
- Author:
Yang ZHANG
1
;
Linjia ZHU
;
Zixuan CHEN
;
Tianming ZHA
;
Bo GUI
Author Information
1. 南京医科大学第一附属医院麻醉与围术期医学科，南京 210029
- Collective Name:Elamin Sara Musa Abdalla
- Publication Type:Journal Article
- Keywords:
Preoperative period;
Hyperglycemia;
Diabetes mellitus;
Thoracic surgery, video-assisted;
Pneumonectomy;
Postoperative pulmonary complications
- From:
Chinese Journal of Anesthesiology
2025;45(2):152-155
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the association of immediate preoperative hyperglycemia (IPH) with postoperative pulmonary complications (PPCs) in patients with diabetes mellitus following video-assisted thoracoscopic partial lung surgery (VATPLS).Methods:This was a retrospective cohort study. The patients with diabetes mellitus who underwent elective VATPLS at the First Affiliated Hospital of Nanjing Medical University from January, 2018 to July, 2020 were recruited. Based on immediate preoperative blood glucose levels (fasting blood glucose within 2 h before surgery), the patients were divided into hyperglycemia group (IPH group, blood glucose concentration ≥7.8 mmol/L) and non-hyperglycemia group (non-IPH group, blood glucose concentration <7.8 mmol/L). The association of IPH with the occurrence of PPCs was analyzed using the prospensity score matching.Results:Data from 438 diabetic patients who underwent VATPLS were ultimately collected in this study. Compared with non-IPH group, the incidence of PPCs was significantly increased in IPH group ( P<0.001). After propensity score matching, 128 cases were assigned to both IPH group and non-IPH group, the risk of PPCs in IPH group was 1.33 times of that in non-IPH group (relative risk 1.33, 95% confidence interval 1.02-1.73, P=0.031). There were no interactions between age factors/preoperative glycated hemoglobin and IPH. Conclusions:IPH (fasting blood glucose within 2 h before surgery ≥7.8 mmol/L) is associated with the occurrence of PPCs to some degree in patients with diabetes mellitus undergoing VATPLS.
