Abstract
Background
Intraoperative dysglycemia is a common health issue among surgical patients in different healthcare systems around the world. This prospective study was conducted to assess the incidence of intraoperative dysglycemia among patients undergoing surgeries in the Palestinian practice.
Methods
This was a prospective study that was conducted in the period between 29th October 2023 until 1st January 2024. The demographics, clinical, and surgical characteristics of the patients were obtained using a standardized data collection form. Capillary blood glucose levels were measured preoperatively, before the induction of anesthesia, after the induction of anesthesia, during surgery, and after surgery.
Result
A total of 374 patients were included in this study. Of the patients, 211 (56.4%) were younger than 35 years, 205 (54.8%) were females, and 256 (68.4%) were either overweight or obese. Obstetrics and gynecological, abdominal, and orthopedic surgeries were the most common surgeries in this study. The majority of the patients (69.3%) received general anesthesia. The delta change in blood glucose after induction of anesthesia was significantly higher among the patients were never married (p = 0.021), were operated for 1 h or more (p = 0.024), received general anesthesia (p = 0.001), did not experience heart rate changes (p = 0.004), and received steroid (p = 0.050). The delta change in blood glucose during surgery was significantly higher among the patients who received intraoperative dextrose (p < 0.001) and were operated for 1 h or more (p = 0.020). Similarly, the delta change in blood glucose after surgery was significantly higher among the patients who received intraoperative dextrose (p < 0.001), crystalloid (p = 0.045), blood transfusion (p = 0.010), were operated for 1 h or more (p = 0.005), received general anesthesia (p = 0.014), experience heart rate changes (p = 0.015), and received steroid (p = 0.002).
Conclusion
Intraoperative dysglycemia occurred among patients who underwent surgeries in the Palestinian practice. This intraoperative dysglycemia was associated with certain demographic and surgical variables. Anesthesiologists, surgeons, and providers of perioperative care services should consider monitoring blood glucose levels preoperatively, intraoperatively, and postoperatively.