کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
8632396 1568998 2017 23 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Review: The relationship of hemoglobin A1c to postoperative surgical risk with an emphasis on joint replacement surgery
موضوعات مرتبط
علوم زیستی و بیوفناوری بیوشیمی، ژنتیک و زیست شناسی مولکولی علوم غدد
پیش نمایش صفحه اول مقاله
Review: The relationship of hemoglobin A1c to postoperative surgical risk with an emphasis on joint replacement surgery
چکیده انگلیسی
Patients with diabetes mellitus are known to have a high risk of postoperative complications, including infections, impaired wound healing, cardiovascular events, venous thromboembolism, and mortality. Because hyperglycemia has been thought to mediate this risk, there is a clinical propensity for improving glycemic control, as assessed by hemoglobin A1c (HbA1c) level, prior to proceeding with elective surgery, particularly joint replacement surgery. However, it is not established whether chronic poor glycemic control, indicated by elevated HbA1c levels, predicts increased risk of postoperative complications. The benefit of improving glycemic control must be weighed against risks of delaying necessary elective surgery, such as joint replacement surgery, which risks may include negative impact on long-term glycemic control. Thus, we review the current evidence to determine the relationship between HbA1c and postoperative surgical risk, especially on joint replacement surgery.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Diabetes and its Complications - Volume 31, Issue 12, December 2017, Pages 1710-1718
نویسندگان
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