Glycaemic stability and length of stay: Tight versus conventional intraoperative glycaemic control protocols among patients with diabetes mellitus undergoing coronary artery bypass graft surgery
Background Intraoperative glycaemic stability and control among patients with diabetes mellitus (DM) undergoing coronary artery bypass grafting (CABG) surgery have been a major concern. The current study aimed to compare the effect of tight glycaemic control and conventional glycaemic control on gly...
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Veröffentlicht in: | International journal of clinical practice (Esher) 2021-10, Vol.75 (10), p.e14551-n/a |
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description | Background
Intraoperative glycaemic stability and control among patients with diabetes mellitus (DM) undergoing coronary artery bypass grafting (CABG) surgery have been a major concern. The current study aimed to compare the effect of tight glycaemic control and conventional glycaemic control on glycaemic stability and length of stay (LOS) among diabetic patients undergoing CABG surgery.
Methods
This study utilised a randomised control trial design among a convenience sample of 144 patients. Participants were randomly assigned to either the tight or conventional glycaemic control groups. The repeated measures analysis of variance (ANOVA) test and an independent samples t test were used to assess the variations in blood glucose (BG) level and LOS based on insulin therapy type.
Results
Patients who received the tight glycaemic control protocol had significantly more consistent and lower mean intraoperative BG levels than did patients who received the conventional glycaemic control protocol. No statistically significant differences in hospital LOS in days were identified between the two groups.
Conclusion
Healthcare providers, including physicians and nurses, should consider using tight glycaemic control therapy among patients undergoing coronary artery bypass graft (CABG) surgery. This may lead to increased BG level consistency and stability and lower mean intraoperative BG level across time. |
doi_str_mv | 10.1111/ijcp.14551 |
format | Article |
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Intraoperative glycaemic stability and control among patients with diabetes mellitus (DM) undergoing coronary artery bypass grafting (CABG) surgery have been a major concern. The current study aimed to compare the effect of tight glycaemic control and conventional glycaemic control on glycaemic stability and length of stay (LOS) among diabetic patients undergoing CABG surgery.
Methods
This study utilised a randomised control trial design among a convenience sample of 144 patients. Participants were randomly assigned to either the tight or conventional glycaemic control groups. The repeated measures analysis of variance (ANOVA) test and an independent samples t test were used to assess the variations in blood glucose (BG) level and LOS based on insulin therapy type.
Results
Patients who received the tight glycaemic control protocol had significantly more consistent and lower mean intraoperative BG levels than did patients who received the conventional glycaemic control protocol. No statistically significant differences in hospital LOS in days were identified between the two groups.
Conclusion
Healthcare providers, including physicians and nurses, should consider using tight glycaemic control therapy among patients undergoing coronary artery bypass graft (CABG) surgery. This may lead to increased BG level consistency and stability and lower mean intraoperative BG level across time.</description><identifier>ISSN: 1368-5031</identifier><identifier>EISSN: 1742-1241</identifier><identifier>DOI: 10.1111/ijcp.14551</identifier><language>eng</language><publisher>London: Hindawi Limited</publisher><subject>Blood glucose ; Coronary artery ; Coronary vessels ; Diabetes ; Diabetes mellitus ; Heart surgery ; Insulin ; Length of stay ; Patients ; Statistical analysis ; Variance analysis ; Veins & arteries</subject><ispartof>International journal of clinical practice (Esher), 2021-10, Vol.75 (10), p.e14551-n/a</ispartof><rights>2021 John Wiley & Sons Ltd</rights><rights>Copyright © 2021 John Wiley & Sons Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c2931-4bd1d9939518bd0bad8fead3857f07a9a18c40b7beb069a1e546a41bd30ed0893</cites><orcidid>0000-0002-8141-3530 ; 0000-0002-0482-0810</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fijcp.14551$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fijcp.14551$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids></links><search><creatorcontrib>Hayajneh, Audai A.</creatorcontrib><creatorcontrib>Hweidi, Issa M.</creatorcontrib><creatorcontrib>Zytoon, Ala M.</creatorcontrib><title>Glycaemic stability and length of stay: Tight versus conventional intraoperative glycaemic control protocols among patients with diabetes mellitus undergoing coronary artery bypass graft surgery</title><title>International journal of clinical practice (Esher)</title><description>Background
Intraoperative glycaemic stability and control among patients with diabetes mellitus (DM) undergoing coronary artery bypass grafting (CABG) surgery have been a major concern. The current study aimed to compare the effect of tight glycaemic control and conventional glycaemic control on glycaemic stability and length of stay (LOS) among diabetic patients undergoing CABG surgery.
Methods
This study utilised a randomised control trial design among a convenience sample of 144 patients. Participants were randomly assigned to either the tight or conventional glycaemic control groups. The repeated measures analysis of variance (ANOVA) test and an independent samples t test were used to assess the variations in blood glucose (BG) level and LOS based on insulin therapy type.
Results
Patients who received the tight glycaemic control protocol had significantly more consistent and lower mean intraoperative BG levels than did patients who received the conventional glycaemic control protocol. No statistically significant differences in hospital LOS in days were identified between the two groups.
Conclusion
Healthcare providers, including physicians and nurses, should consider using tight glycaemic control therapy among patients undergoing coronary artery bypass graft (CABG) surgery. This may lead to increased BG level consistency and stability and lower mean intraoperative BG level across time.</description><subject>Blood glucose</subject><subject>Coronary artery</subject><subject>Coronary vessels</subject><subject>Diabetes</subject><subject>Diabetes mellitus</subject><subject>Heart surgery</subject><subject>Insulin</subject><subject>Length of stay</subject><subject>Patients</subject><subject>Statistical analysis</subject><subject>Variance analysis</subject><subject>Veins & arteries</subject><issn>1368-5031</issn><issn>1742-1241</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp9kc9u1DAQxiMEEqVw4QkscUFIKXZsbxxuaFVKUSU4lHPkP5PUKycOtrNVXo8nY5ZFHDjgy9ij33zfjKeqXjN6xfC89we7XDEhJXtSXbBWNDVrBHuKd75TtaScPa9e5HygtJFS0Yvq503YrIbJW5KLNj74shE9OxJgHssDicMpv30g9358KOQIKa-Z2DgfYS4-zjoQP5ek4wJJF38EMv4VRKqkGMiSYok2hkz0FOeRLAhidSaPHh2c1wYKZDJBQHdUX2cHaYweURsTeiRsKRXAYLZF50zGpIdC8ppGTL6sng06ZHj1J15W3z9d3-8_13dfb273H-9q23Sc1cI45rqOd5Ip46jRTg2gHVeyHWirO82UFdS0Bgzd4Quk2GnBjOMUHFUdv6zennVxnh8r5NJPPltsWs8Q19w3UnAhWNO0iL75Bz3ENeFnnaiWI7FTCql3Z8qmmHOCoV-Sn3DantH-tM7-tM7-9zoRZmf40QfY_kP2t1_23841vwBA0alH</recordid><startdate>202110</startdate><enddate>202110</enddate><creator>Hayajneh, Audai A.</creator><creator>Hweidi, Issa M.</creator><creator>Zytoon, Ala M.</creator><general>Hindawi Limited</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7T5</scope><scope>7TK</scope><scope>7TS</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-8141-3530</orcidid><orcidid>https://orcid.org/0000-0002-0482-0810</orcidid></search><sort><creationdate>202110</creationdate><title>Glycaemic stability and length of stay: Tight versus conventional intraoperative glycaemic control protocols among patients with diabetes mellitus undergoing coronary artery bypass graft surgery</title><author>Hayajneh, Audai A. ; Hweidi, Issa M. ; Zytoon, Ala M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2931-4bd1d9939518bd0bad8fead3857f07a9a18c40b7beb069a1e546a41bd30ed0893</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Blood glucose</topic><topic>Coronary artery</topic><topic>Coronary vessels</topic><topic>Diabetes</topic><topic>Diabetes mellitus</topic><topic>Heart surgery</topic><topic>Insulin</topic><topic>Length of stay</topic><topic>Patients</topic><topic>Statistical analysis</topic><topic>Variance analysis</topic><topic>Veins & arteries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hayajneh, Audai A.</creatorcontrib><creatorcontrib>Hweidi, Issa M.</creatorcontrib><creatorcontrib>Zytoon, Ala M.</creatorcontrib><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Physical Education Index</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of clinical practice (Esher)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hayajneh, Audai A.</au><au>Hweidi, Issa M.</au><au>Zytoon, Ala M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Glycaemic stability and length of stay: Tight versus conventional intraoperative glycaemic control protocols among patients with diabetes mellitus undergoing coronary artery bypass graft surgery</atitle><jtitle>International journal of clinical practice (Esher)</jtitle><date>2021-10</date><risdate>2021</risdate><volume>75</volume><issue>10</issue><spage>e14551</spage><epage>n/a</epage><pages>e14551-n/a</pages><issn>1368-5031</issn><eissn>1742-1241</eissn><abstract>Background
Intraoperative glycaemic stability and control among patients with diabetes mellitus (DM) undergoing coronary artery bypass grafting (CABG) surgery have been a major concern. The current study aimed to compare the effect of tight glycaemic control and conventional glycaemic control on glycaemic stability and length of stay (LOS) among diabetic patients undergoing CABG surgery.
Methods
This study utilised a randomised control trial design among a convenience sample of 144 patients. Participants were randomly assigned to either the tight or conventional glycaemic control groups. The repeated measures analysis of variance (ANOVA) test and an independent samples t test were used to assess the variations in blood glucose (BG) level and LOS based on insulin therapy type.
Results
Patients who received the tight glycaemic control protocol had significantly more consistent and lower mean intraoperative BG levels than did patients who received the conventional glycaemic control protocol. No statistically significant differences in hospital LOS in days were identified between the two groups.
Conclusion
Healthcare providers, including physicians and nurses, should consider using tight glycaemic control therapy among patients undergoing coronary artery bypass graft (CABG) surgery. This may lead to increased BG level consistency and stability and lower mean intraoperative BG level across time.</abstract><cop>London</cop><pub>Hindawi Limited</pub><doi>10.1111/ijcp.14551</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-8141-3530</orcidid><orcidid>https://orcid.org/0000-0002-0482-0810</orcidid></addata></record> |
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subjects | Blood glucose Coronary artery Coronary vessels Diabetes Diabetes mellitus Heart surgery Insulin Length of stay Patients Statistical analysis Variance analysis Veins & arteries |
title | Glycaemic stability and length of stay: Tight versus conventional intraoperative glycaemic control protocols among patients with diabetes mellitus undergoing coronary artery bypass graft surgery |
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