Effect of Preoperative Corticosteroids on Postoperative Glucose Control in Total Joint Arthroplasty.

ABSTRACT:

Background

Dexamethasone is a commonly used perioperative medication for the management of postoperative nausea and vomiting following total joint arthroplasty (TJA). However, concerns have been raised about its potential to cause hyperglycemia. This study aimed to investigate the impact of dexamethasone administration on glucose levels and complications in both diabetic and nondiabetic patients undergoing TJA.

Methods

We performed a retrospective review of 1928 patients who underwent primary total knee and hip arthroplasty procedures at a large tertiary medical institution. Patients were divided into 2 groups based on whether they received preoperative dexamethasone. Postoperative blood glucose values and variability were measured, and data on complications were collected.

SUBMITTER: Denyer S 

PROVIDER: S-EPMC10700152 | biostudies-literature | 2023 Dec

REPOSITORIES: biostudies-literature