Skip Navigation LinksHome > July/September 2014 - Volume 25 - Issue 3 > Hyperglycemia After Cardiac Surgery: Improving a Quality Mea...
AACN Advanced Critical Care:
doi: 10.1097/NCI.0000000000000028

Hyperglycemia After Cardiac Surgery: Improving a Quality Measure

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

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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


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