Poor Glycemic Control May Raise Risk for Lumbar Spine Surgery Complications

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Poor Glycemic Control May Raise Risk for Lumbar Spine Surgery Complications
Poor Glycemic Control May Raise Risk for Lumbar Spine Surgery Complications

(HealthDay News) — For patients with diabetes, undergoing degenerative lumbar spine surgery, suboptimal glycemic control contributes to increased risk for complications and poor outcomes, according to a study published in  Spine.

Javier Z. Guzman, from Icahn School of Medicine at Mount Sinai, New York City, and colleagues utilized data from the Nationwide Inpatient Sample from 2002 to 2011 to identify patients undergoing lumbar spine surgery for degenerative conditions. 

They examined the effect of glycemic control on perioperative morbidity and mortality.

The researchers found that 403,629 patients with controlled diabetes and 19,421 with uncontrolled diabetes underwent degenerative lumbar spine surgery from 2002 to 2011. 

Patients with uncontrolled diabetes had significantly increased odds of cardiac complications, deep venous thrombosis and postoperative shock, compared with patients without diabetes. 

Furthermore, patients with uncontrolled diabetes had an increased mean length of stay (approximately 2.5 days), greater costs (1.3-fold), and an elevated inpatient mortality risk (OR=2.6; P<.0009). 

Compared with patients without diabetes, those with controlled diabetes had increased risk for acute complications and inpatient mortality, but not to the same extent as patients with uncontrolled diabetes.

"Patients with uncontrolled [diabetes mellitus], or poor glucose control, may benefit from improving glycemic control prior to surgery," the researchers concluded.

Reference

  1. Guzman J et al. Spine. 2014;39(20):1656-1665.
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