Change search
ReferencesLink to record
Permanent link

Direct link
Preoperative insulin resistance reduces complications after hip replacement surgery in non-diabetic patients.
Linköping University, Faculty of Health Sciences. Linköping University, Department of Medical and Health Sciences, Division of Drug Research. Research Unit, Södertälje Hospital, Södertälje, Sweden.
Research Unit, Södertälje Hospital, Södertälje, Sweden.
2013 (English)In: BMC Anesthesiology, ISSN 1471-2253, Vol. 13, no 1, 39- p.Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Insulin resistance negatively affects the outcome of surgery in patients with type 2 diabetes. This association is often believed to be present in other patient populations as well, but studies are lacking on the influence of preoperative insulin resistance on the clinical course of surgery in non-diabetic patients.

METHODS: Sixty non-diabetic patients with a mean age of 68 years underwent a 75-min intravenous glucose tolerance test (IVGTT) one day before and after elective hip replacement surgery. Patients were regarded to be either insulin resistant (< median insulin sensitivity) or not (> median insulin sensitivity). Hypotensive events occurring in the postoperative care unit and complications in the orthopedic ward were recorded. Fatigue and well-being were assessed via questionnaires.

RESULTS: A total of 52 patients were included in the final analysis. Insulin resistance before surgery was associated with a lower risk of arterial hypotension in the postoperative care unit (systolic pressure < 80 mmHg; P < 0.05) and with fewer complications in the orthopedic ward (mean 1.9 versus 1.2 per operation, P < 0.01), particularly with respect to nausea/vomiting (P < 0.04) and arterial hypotension (P < 0.05). Fewer of these patients had more than one complication (23% versus 58%, P < 0.001), while no statistical link between preoperative insulin resistance and fatigue or well-being was evident. Insulin resistance, when measured one day postoperatively, did not correlate with the number of complications.

CONCLUSIONS: Preoperative insulin resistance offers some benefit in the postoperative period and early convalescence in non-diabetic patients who undergo hip replacement surgery.

Place, publisher, year, edition, pages
2013. Vol. 13, no 1, 39- p.
National Category
Medical and Health Sciences
URN: urn:nbn:se:liu:diva-102525DOI: 10.1186/1471-2253-13-39ISI: 000328384900001PubMedID: 24188443OAI: diva2:678816
Available from: 2013-12-13 Created: 2013-12-13 Last updated: 2014-01-29

Open Access in DiVA

fulltext(453 kB)88 downloads
File information
File name FULLTEXT01.pdfFile size 453 kBChecksum SHA-512
Type fulltextMimetype application/pdf

Other links

Publisher's full textPubMed

Search in DiVA

By author/editor
Hahn, Robert G
By organisation
Faculty of Health SciencesDivision of Drug Research
In the same journal
BMC Anesthesiology
Medical and Health Sciences

Search outside of DiVA

GoogleGoogle Scholar
Total: 88 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Altmetric score

Total: 37 hits
ReferencesLink to record
Permanent link

Direct link