Skip Navigation LinksHome > Current Issue > Hyperglycemia After Cardiac Surgery: Improving a Quality Mea...
AACN Advanced Critical Care:
doi: 10.1097/NCI.0000000000000028
Features

Hyperglycemia After Cardiac Surgery: Improving a Quality Measure

Stoodley, Lynda RN, DNP, NP-C; Wung, Shu-Fen RN, PhD, ACNP-BC

Collapse Box

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.

© 2014 American Association of Critical-Care Nurses

Login

Search for Similar Articles
You may search for similar articles that contain these same keywords or you may modify the keyword list to augment your search.