Document Type
Article
Publication Date
10-1-2012
Abstract
To improve outcomes in open heart surgery (OHS) patients, the Surgical Care Improvement Project (SCIP) requires 6 am postoperative day (POD) 1 and 2 blood glucose (BG) to be ≤200mg/dL. This study examined risk factors for SCIP noncompliance when using an insulin infusion protocol (IIP) and evaluated this SCIP metric as a surrogate for glycemic control. The authors divided 99 consecutive OHS patients, all subjected to 1 uniform IIP, into 2 groups: Group 1-SCIP compliant (n=79) and Group 2-SCIP noncompliant (n=20). They determined mean BG for the first 48 postoperative hours, percent of total time with hyperglycemia (% time BG >200mg/dL) for each group, and assessed risk of SCIP noncompliance as relates to multiple risk factors including intensity of IIP application, and switching to subcutaneous (SQ) insulin prior to 6 am on POD 2. Group 1 had lower mean BG than Group 2 and percent of total time with hyperglycemia, P
Recommended Citation
Whitman, Isaac R; Murphy, Maura; Gilson, Marta M; Campfield, Amy; Haddad, Michel; Moxey, Elizabeth; and Whitman, Glenn J R, "Compliance with surgical care improvement project blood glucose--a marker for euglycemia, but does it put our patients at risk?" (2012). Department of Surgery Faculty Papers. Paper 110.
https://jdc.jefferson.edu/surgeryfp/110
PubMed ID
22788779
Comments
This article has been peer reviewed and is published in Population Health Management.
Volume 15, Issue 5, 1 October 2012, Pages 309-314.
The published version is available at DOI: 10.1089/pop.2011.0072
© Mary Ann Liebert, Inc.