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. 2022 Apr;37(4):930-936.
doi: 10.1111/jocs.16282. Epub 2022 Jan 30.

Diabetes workshops for providers improve glucose control in coronary artery bypass grafting patients

Magdalena Bogun  1 , Matthew A Beier  2 , Sameer K Singh  2 , Denise McLaughlin  2 , Yuming Ning  3 , Paul Kurlansky  2 , Syed T Raza  2
Affiliations

Diabetes workshops for providers improve glucose control in coronary artery bypass grafting patients

Magdalena Bogun et al. J Card Surg. 2022 Apr.

Abstract

Objectives: Postoperative hyperglycemia occurs in up to 80% of cardiac surgery patients and is associated with poor outcomes. We sought to determine if case-based diabetes workshops for providers would improve postoperative glycemic control and outcomes in patients undergoing coronary artery bypass grafting (CABG).

Methods: Healthcare providers taking care of patients in the cardiothoracic step-down unit underwent 30-min weekly case-based diabetes workshops over 6 months. Workshops focused on initiation of insulin treatment, titration of insulin dosing, and transitioning from insulin drips to subcutaneous insulin. Isolated-CABG patients were recorded during 29-month periods before (Jan 2013-June 2015) and after training (Jan 2016-June 2018). Glycemic control and outcomes were compared between groups balanced for preoperative risk factors using inverse probability treatment weights.

Results: A total of 938 and 1032 patients were included in pre- and posttraining groups, respectively. Compared to the pretraining period, the posttraining period had a lower median of mean patient day glucose levels (151 vs. 144 mg/dl, p < .001) and percentage of patient days with a glucose level >250 mg/dl (20% vs. 14%, p < .001). The percentage of patient days with mean glucose values in the target range (80-180 mg/dl) increased from 71% to 77% (p < .001). The incidence of hypoglycemic events did not significantly change after training (p = .15). The incidence of sepsis was significantly lower in the posttraining period (1.7% vs. 0.2%, p < .001).

Conclusions: Weekly diabetes workshops for healthcare providers were associated with improved glycemic control and reduced postoperative sepsis among isolated CABG patients.

Keywords: CABG; diabetes; glycemic control; provider workshop.

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References

REFERENCES

    1. Morricone L, Ranucci M, Denti S, et al. Diabetes and complications after cardiac surgery: comparison with a non-diabetic population. Acta Diabetol. 1999;36(1-2):77-84.
    1. Thourani VH, Weintraub WS, Stein B, et al. Influence of diabetes mellitus on early and late outcome after coronary artery bypass grafting. Ann Thorac Surg. 1999;67(4):1045-1052.
    1. Bucerius J, Gummert JF, Walther T, et al. Impact of diabetes mellitus on cardiac surgery outcome. Thorac Cardiovasc Surg. 2003;51(1):11-16.
    1. Latham R, Lancaster A, Covington J, Pirolo J, Thomas C. The association of diabetes and glucose control with surgical-site infections among cardiothoracic surgery patients. Infection Control & Hospital Epidemiology. 2001;22(10):607-612.
    1. Ascione R, Rogers CA, Rajakaruna C, Angelini GD. Inadequate blood glucose control is associated with in-hospital mortality and morbidity in diabetic and nondiabetic patients undergoing cardiac surgery. Circulation. 2008;118(2):113-123.

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