title: Correlation of hemoglobin A1C level with surgical outcomes: Can tight perioperative glucose control reduce infection and cardiac events?
abstract: "Optimal" control of serum glucose levels is an important principle in the successful management of diabetes mellitus. Conversely, poorly controlled serum glucose levels are associated with negative sequelae, including accelerated progression of cardiovascular disease, increased mortality, and increased perioperative complications. The importance of glycemic control as a part of appropriate perioperative management is reviewed and target values are recommended.
authors.affiliation: Division of Vascular Surgery and Endovascular Services, SUNY Upstate Medical University, 750 East Adams Street, Syracuse, NY 13210.
authors.forename: Palma
authors.initials: P
authors.lastname: Shaw
authors.affiliation: Division of Vascular Surgery and Endovascular Services, SUNY Upstate Medical University, 750 East Adams Street, Syracuse, NY 13210.
authors.forename: Taimur
authors.initials: T
authors.lastname: Saleem
authors.affiliation: Division of Vascular Surgery and Endovascular Services, SUNY Upstate Medical University, 750 East Adams Street, Syracuse, NY 13210; Department of Veterans Affairs Healthcare Network Upstate New York at Syracuse, Syracuse, NY. Electronic address: gahtanv@upstate.edu.
authors.forename: Vivian
authors.initials: V
authors.lastname: Gahtan
mesh_terms: D000818:Animals; D015415:Biomarkers / Q000097:blood; D001786:Blood Glucose / Q000187:drug effects* / Q000378:metabolism; D003920:Diabetes Mellitus / Q000097:blood* / Q000175:diagnosis / Q000188:drug therapy / Q000401:mortality; D006442:Glycated Hemoglobin / Q000378:metabolism*; D006331:Heart Diseases / Q000175:diagnosis / Q000209:etiology / Q000401:mortality / Q000517:prevention & control*; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use*; D019990:Perioperative Care; D018570:Risk Assessment; D012307:Risk Factors; D013530:Surgical Wound Infection / Q000175:diagnosis / Q000209:etiology / Q000401:mortality / Q000517:prevention & control*; D016896:Treatment Outcome; D014652:Vascular Diseases / Q000097:blood / Q000175:diagnosis / Q000401:mortality / Q000601:surgery*; D014656:Vascular Surgical Procedures / Q000009:adverse effects* / Q000401:mortality
chemical_list: D015415:Biomarkers; D001786:Blood Glucose; D006442:Glycated Hemoglobin; D007004:Hypoglycemic Agents; C517652:hemoglobin A1c protein, human