Magnitude and associated factors of postoperative hyperglycemia among adult patients who underwent elective surgery at Tikur Anbessa specialized hospital, Addis Ababa, Ethiopia, 2020.
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Date
2020-06
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Addis Abeba University
Abstract
Abstract
Background: Patients with post-operative hyperglycemia develop complications like surgical site
infection, delayed wound healing and increased length of hospital stay. However, hyperglycemia
in postoperative period remains high in surgical patients. This study assessed the magnitude and
associated factors of hyperglycemia in postoperative period among adult patients who underwent
elective surgery at Tikur Anbessa specialized hospital, Addis Abeba.
Method: Institutional based cross-sectional study was conducted among 282 adult patients that
underwent elective surgery at Tikur Anbessa specialized hospital from January 1 to March 30,
2020. Systematic random sampling technique was used and quantitative data were collected by
pre tested questionnaire through interview and data retrieval from chart. Both bivariate and
multivariable logistic regression analysis were done to evaluate the association between
independent and dependent variable. Level of statistical significance was declared at p-value less
than 0.05.
Result: This study revealed that 126(44.7%) of patients developed postoperative hyperglycemia.
Age group of 41-60 AOR=11.2.; 95%CI :( 2-24.5) and age group >60 AOR=12.3; 95%CI :(
4.5-33.3), ASA class III AOR=6.3; 95%CI :( 1.4-27), General anesthesia AOR=5.6; 95%CI :(
1.3-24), History of hypertension AOR=8.4; 95%CI :( 1.26-47) showed statistical association
with post-operative hyperglycemia.
Conclusion and recommendation: Magnitude of hyperglycemia is higher in postoperative
period. Age, ASA class, type of anesthesia and history of hypertension were identified predictive
factors. Anesthesia and surgical staffs must develop local protocol or adopt protocol to treat postoperative
hyperglycemia and factors associated with post-operative hyperglycemia should be
identified a head of surgery.
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Keywords
Elective, Hyperglycemia, Tikur Anbessa specialized hospital.