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DO POST-SPINAL SURGERY HYPERGLYCEMIC PATIENT DEVELOP MORE COMPLICATIONS COMPARED TO POST-OPERATIVE EUGLYCEMIC PATIENTS.

Omar Saud Almutair, Abdulrahman Hassan Alfahadi, Abdurrahman Homod Almalki, Majed Abdullah Altulyan, Abdulrahman Fahad Alboqami, Nawaf Hamad Aldawsari

Objectives: To compare post-spinal surgery complications among patients who developed post-operative hyperglycemia with euglycemic patients. Methodology: Out of the 129 patients who underwent spinal surgeries at King Saud University Medical City, Riyadh SA, for two years period. exclusion and inclusion criteria were applied including only the patients whom their postoperative glucose level was documented and a total number of 106 patients were enrolled in a retrospective analysis study design. Each of the patients’ records were thoroughly and comprehensively reviewed and analyzed. Result : Out of 103 with a mean age of 49 years old , and mean BMI 30.4 , with most of the patients having ASA score 2 [55.7%] , 11 [11.5%] were hyperglycemic, 4 [36.4%] of which developed complications, however 40 [37.7%] were post-operatively euglycemic and developed complications, sub-optimal wound healing was the most common complication among the hyperglycemic and euglycemic [18.2% and 11.8%] respectively , the length of stay was more among hyperglycemic patients by 1.95 days than euglycemic patients . Conclusion: we conclude that post-operative hyperglycemic patients did not develop higher complications compared to euglycemic patients, however length of stay was more among hyperglycemic patients by 1.95 days compared to euglycemic patients.

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