Hyperglycemia after cardiac surgery: Improving a quality measure

Lynda Stoodley, Shu Fen Wung

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

BACKGROUND:: The Surgical Care Improvement Project #4 (SCIP#4) performance measure is used to evaluate achievement of target blood glucose control after cardiac surgery. OBJECTIVES:: The purpose of this study was to identify patient characteristics and outcomes in patients undergoing cardiac surgery who met the SCIP#4 performance measure versus those who did not. METHODS:: A retrospective case-control design was used. RESULTS:: Preoperative hemoglobin A1C (HbA1C) level and history of diabetes were 2 major risk factors for failing to meet the SCIP#4 measure. A trend toward a longer length of stay was observed, mortality was 3 times more prevalent, and renal failure was 4 times more frequent in patients who did not meet the SCIP#4 quality measure. CONCLUSIONS:: Not meeting the SCIP#4 measure is associated with adverse outcomes. History of diabetes and preoperative HbAIC level should be considered when evaluating strategies for managing postsurgical hyperglycemia.

Original languageEnglish (US)
Pages (from-to)221-227
Number of pages7
JournalAACN Advanced Critical Care
Volume25
Issue number3
DOIs
StatePublished - Jan 1 2014

Keywords

  • Cardiac surgery
  • Hyperglycemia
  • Performance measure
  • Quality measure
  • SCIP measure

ASJC Scopus subject areas

  • Emergency Medicine
  • Critical Care

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