FREE: Association between Intraoperative Hyperglycemia and Postoperative End-Organ Dysfunctions after Cardiac Surgery: A Retrospective Observational Study.

Association between Intraoperative Hyperglycemia and Postoperative End-Organ Dysfunctions after Cardiac Surgery: A Retrospective Observational Study.

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Purpose

Hyperglycemia has been associated with postoperative morbidity in patients who undergo cardiac surgery. However, it remains unclear whether the duration of hyperglycemia is as important as its magnitude in the development of postoperative end-organ dysfunction (PEOD). This retrospective study investigated the hypothesis that the intraoperative blood glucose (BG) exposure index (GE index), calculated by the product of the magnitude and duration of BG concentration ≥ 180 mg/dL, which is an integration of the severity and duration of hyperglycemia, is associated with the incidence of PEOD in patients undergoing cardiac surgery with cardiopulmonary bypass.