{"id":"https://openalex.org/W4353015409","doi":"https://doi.org/10.1089/sur.2022.327","title":"Treatment of Severe Hyperglycemia in Patients Without Diabetes After Colorectal Surgery","display_name":"Treatment of Severe Hyperglycemia in Patients Without Diabetes After Colorectal Surgery","publication_year":2023,"publication_date":"2023-03-22","ids":{"openalex":"https://openalex.org/W4353015409","doi":"https://doi.org/10.1089/sur.2022.327","pmid":"https://pubmed.ncbi.nlm.nih.gov/36946879"},"language":"en","primary_location":{"id":"doi:10.1089/sur.2022.327","doi":"https://doi.org/10.1089/sur.2022.327","is_oa":false,"landing_page_url":"http://dx.doi.org/10.1089/sur.2022.327","pdf_url":null,"source":{"id":"https://openalex.org/S182167790","display_name":"Surgical Infections","issn_l":"1096-2964","issn":["1096-2964","1557-8674"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2"],"host_organization":"https://openalex.org/P4310320443","host_organization_name":"Mary Ann Liebert, Inc.","host_organization_lineage":["https://openalex.org/P4310320443","https://openalex.org/P4310320017"],"host_organization_lineage_names":["Mary Ann Liebert, Inc.","SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Surgical Infections","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5102780699","display_name":"John D. Mannion","orcid":"https://orcid.org/0000-0001-5246-1499","observed_orcids":["https://orcid.org/0000-0001-5246-1499"]},"institutions":[{"id":"https://openalex.org/I4210108539","display_name":"Bayhealth Foundation","ror":"https://ror.org/01m9n8h83","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210108539"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"John D. Mannion","raw_affiliation_strings":["Bayhealth Medical Center, Dover, Delaware, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Bayhealth Medical Center, Dover, Delaware, USA","institution_ids":["https://openalex.org/I4210108539"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5060165761","display_name":"Assar Rather","orcid":"https://orcid.org/0000-0002-5953-183X","observed_orcids":["https://orcid.org/0000-0002-5953-183X"]},"institutions":[{"id":"https://openalex.org/I4210108539","display_name":"Bayhealth Foundation","ror":"https://ror.org/01m9n8h83","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210108539"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Assar Rather","raw_affiliation_strings":["Bayhealth Medical Center, Dover, Delaware, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Bayhealth Medical Center, Dover, Delaware, USA","institution_ids":["https://openalex.org/I4210108539"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Kelly Gardner","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210108539","display_name":"Bayhealth Foundation","ror":"https://ror.org/01m9n8h83","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210108539"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kelly Gardner","raw_affiliation_strings":["Bayhealth Medical Center, Dover, Delaware, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Bayhealth Medical Center, Dover, Delaware, USA","institution_ids":["https://openalex.org/I4210108539"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5006637486","display_name":"Margaret McEvilly","orcid":"https://orcid.org/0000-0003-3898-3906","observed_orcids":["https://orcid.org/0000-0003-3898-3906"]},"institutions":[{"id":"https://openalex.org/I4210108539","display_name":"Bayhealth Foundation","ror":"https://ror.org/01m9n8h83","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210108539"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Margaret McEvilly","raw_affiliation_strings":["Bayhealth Medical Center, Dover, Delaware, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Bayhealth Medical Center, Dover, Delaware, USA","institution_ids":["https://openalex.org/I4210108539"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5110832712","display_name":"Adrianne Fisher","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210108539","display_name":"Bayhealth Foundation","ror":"https://ror.org/01m9n8h83","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210108539"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Adrianne Fisher","raw_affiliation_strings":["Bayhealth Medical Center, Dover, Delaware, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Bayhealth Medical Center, Dover, Delaware, USA","institution_ids":["https://openalex.org/I4210108539"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5089371055","display_name":"Lora Harper","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210108539","display_name":"Bayhealth Foundation","ror":"https://ror.org/01m9n8h83","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210108539"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Lora Harper","raw_affiliation_strings":["Bayhealth Medical Center, Dover, Delaware, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Bayhealth Medical Center, Dover, Delaware, USA","institution_ids":["https://openalex.org/I4210108539"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Michael Thorogood","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210108539","display_name":"Bayhealth Foundation","ror":"https://ror.org/01m9n8h83","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210108539"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Michael Thorogood","raw_affiliation_strings":["Bayhealth Medical Center, Dover, Delaware, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Bayhealth Medical Center, Dover, Delaware, USA","institution_ids":["https://openalex.org/I4210108539"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5052923462","display_name":"Gary Siegelman","orcid":"https://orcid.org/0000-0003-1090-8752","observed_orcids":["https://orcid.org/0000-0003-1090-8752"]},"institutions":[{"id":"https://openalex.org/I4210108539","display_name":"Bayhealth Foundation","ror":"https://ror.org/01m9n8h83","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210108539"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Gary Siegelman","raw_affiliation_strings":["Bayhealth Medical Center, Dover, Delaware, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Bayhealth Medical Center, Dover, Delaware, USA","institution_ids":["https://openalex.org/I4210108539"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5102780699"],"corresponding_institution_ids":["https://openalex.org/I4210108539"],"apc_list":null,"apc_paid":null,"fwci":0.5199,"has_fulltext":false,"cited_by_count":3,"citation_normalized_percentile":{"value":0.62754494,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":89,"max":95},"biblio":{"volume":"24","issue":"4","first_page":"344","last_page":"350"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11623","display_name":"Hyperglycemia and glycemic control in critically ill and hospitalized patients","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11623","display_name":"Hyperglycemia and glycemic control in critically ill and hospitalized patients","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12020","display_name":"Enhanced Recovery After Surgery","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10867","display_name":"Intensive Care Unit Cognitive Disorders","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2706","display_name":"Critical Care and Intensive Care Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/postoperative-hyperglycemia","display_name":"postoperative hyperglycemia","score":0.9750000238418579},{"id":"https://openalex.org/keywords/colorectal-surgery","display_name":"colorectal surgery","score":0.8539999723434448},{"id":"https://openalex.org/keywords/non-diabetic-patients","display_name":"non-diabetic patients","score":0.843999981880188},{"id":"https://openalex.org/keywords/sliding-scale-insulin","display_name":"sliding scale insulin","score":0.9549999833106995},{"id":"https://openalex.org/keywords/intravenous-insulin-therapy","display_name":"intravenous insulin therapy","score":0.8230000138282776},{"id":"https://openalex.org/keywords/hypoglycemia","display_name":"hypoglycemia","score":0.9139999747276306},{"id":"https://openalex.org/keywords/postoperative-infection","display_name":"postoperative infection","score":0.671999990940094},{"id":"https://openalex.org/keywords/postoperative-complications","display_name":"postoperative complications","score":0.8820000290870667},{"id":"https://openalex.org/keywords/length-of-hospital-stay","display_name":"length of hospital stay","score":0.6449999809265137},{"id":"https://openalex.org/keywords/albumin","display_name":"albumin","score":0.6370000243186951},{"id":"https://openalex.org/keywords/operative-time","display_name":"operative time","score":0.5529999732971191},{"id":"https://openalex.org/keywords/glycemic-control","display_name":"glycemic control","score":0.6269999742507935}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9747159481048584},{"id":"https://openalex.org/C555293320","wikidata":"https://www.wikidata.org/wiki/Q12206","display_name":"Diabetes mellitus","level":2,"score":0.8114815950393677},{"id":"https://openalex.org/C2780668416","wikidata":"https://www.wikidata.org/wiki/Q202758","display_name":"Hypoglycemia","level":3,"score":0.7555115818977356},{"id":"https://openalex.org/C2779306644","wikidata":"https://www.wikidata.org/wiki/Q2002370","display_name":"Insulin","level":2,"score":0.7048133015632629},{"id":"https://openalex.org/C81182388","wikidata":"https://www.wikidata.org/wiki/Q353963","display_name":"Complication","level":2,"score":0.5340235233306885},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.5014081001281738},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.41426095366477966},{"id":"https://openalex.org/C134018914","wikidata":"https://www.wikidata.org/wiki/Q162606","display_name":"Endocrinology","level":1,"score":0.22680285573005676}],"mesh":[{"descriptor_ui":"D003107","descriptor_name":"Colorectal Surgery","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D003920","descriptor_name":"Diabetes Mellitus","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D005947","descriptor_name":"Glucose","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006943","descriptor_name":"Hyperglycemia","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":true},{"descriptor_ui":"D007003","descriptor_name":"Hypoglycemia","qualifier_ui":"Q000139","qualifier_name":"chemically induced","is_major_topic":true},{"descriptor_ui":"D007003","descriptor_name":"Hypoglycemia","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":true},{"descriptor_ui":"D007003","descriptor_name":"Hypoglycemia","qualifier_ui":"Q000188","qualifier_name":"drug therapy","is_major_topic":true},{"descriptor_ui":"D007004","descriptor_name":"Hypoglycemic Agents","qualifier_ui":"Q000009","qualifier_name":"adverse effects","is_major_topic":false},{"descriptor_ui":"D007328","descriptor_name":"Insulin","qualifier_ui":"Q000009","qualifier_name":"adverse effects","is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1089/sur.2022.327","doi":"https://doi.org/10.1089/sur.2022.327","is_oa":false,"landing_page_url":"http://dx.doi.org/10.1089/sur.2022.327","pdf_url":null,"source":{"id":"https://openalex.org/S182167790","display_name":"Surgical Infections","issn_l":"1096-2964","issn":["1096-2964","1557-8674"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2"],"host_organization":"https://openalex.org/P4310320443","host_organization_name":"Mary Ann Liebert, Inc.","host_organization_lineage":["https://openalex.org/P4310320443","https://openalex.org/P4310320017"],"host_organization_lineage_names":["Mary Ann Liebert, Inc.","SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Surgical Infections","raw_type":"journal-article"},{"id":"pmid:36946879","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/36946879","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Surgical infections","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":21,"referenced_works":["https://openalex.org/W945131091","https://openalex.org/W1832016857","https://openalex.org/W2007784715","https://openalex.org/W2017693127","https://openalex.org/W2088981885","https://openalex.org/W2115757854","https://openalex.org/W2123467977","https://openalex.org/W2136437903","https://openalex.org/W2145053281","https://openalex.org/W2146382330","https://openalex.org/W2160570993","https://openalex.org/W2163567504","https://openalex.org/W2461583780","https://openalex.org/W2472079485","https://openalex.org/W2785845088","https://openalex.org/W2887304673","https://openalex.org/W3021416052","https://openalex.org/W3026629192","https://openalex.org/W3148790488","https://openalex.org/W3195811386","https://openalex.org/W4282967398"],"related_works":["https://openalex.org/W945131091","https://openalex.org/W3001820131","https://openalex.org/W2009692913","https://openalex.org/W2115757854","https://openalex.org/W2409434738","https://openalex.org/W2050754157","https://openalex.org/W2525797490","https://openalex.org/W2124722367","https://openalex.org/W2007784715","https://openalex.org/W2349442032"],"abstract_inverted_index":{"Background:Several":[0],"studies":[1],"have":[2],"suggested":[3],"that":[4,212],"intravenous":[5],"insulin":[6,50,115,154,179,229],"therapy":[7],"for":[8,41],"post-operative":[9,198,214],"hyperglycemia":[10,103,119,215,238],"improves":[11],"outcomes":[12,55],"after":[13,95,221,242],"colorectal":[14,68,222],"surgery.":[15,96],"Despite":[16],"the":[17,39,158,205],"potential":[18,40],"benefit,":[19],"there":[20],"is":[21,51,61,224,239],"a":[22,123],"reluctance":[23],"to":[24,53,178],"use":[25],"this":[26,44],"approach":[27],"in":[28,170,216],"patients":[29,70,78,100,217],"without":[30,79,218],"diabetes":[31,80,219],"mellitus":[32,81,220],"because":[33],"of":[34,85,99,114,147,160,172],"an":[35,83],"unproven":[36],"benefit":[37],"and":[38,64,74,112,145,181,196],"hypoglycemia.":[42],"In":[43],"study,":[45],"we":[46],"examined":[47],"whether":[48],"sliding-scale":[49,108],"sufficient":[52],"improve":[54],"or":[56,162],"if":[57],"stricter":[58],"glucose":[59,89,199],"control":[60],"necessary.":[62],"Patients":[63],"Methods:Of":[65],"1,064":[66],"consecutive":[67],"surgery":[69,223],"between":[71],"August":[72],"2016":[73],"December":[75],"2021,":[76],"478":[77],"had":[82],"average":[84,197],"6.4":[86],"\u00b1":[87],"3.1":[88],"samples":[90],"taken":[91],"within":[92],"48":[93],"hours":[94],"Sixty-six":[97],"percent":[98],"with":[101,122,184,226],"severe":[102,213,237],"(glucose":[104,166],"\u2265180":[105],"mg/dL)":[106,168],"received":[107],"insulin.":[109],"Complication":[110],"rates":[111],"effects":[113],"were":[116],"examined.":[117],"Results:Severe":[118],"was":[120,175,182,230],"associated":[121,225],"higher":[124],"total":[125,140],"infection":[126,161],"rate":[127],"(p":[128,142,188,193,200],"<":[129,138,143,151,189,194,201],"0.002),":[130],"National":[131],"Healthcare":[132],"Safety":[133],"Network-reported":[134],"infections":[135],"(NHSN;":[136],"p":[137,150],"0.026),":[139],"complications":[141],"0.001),":[144],"length":[146],"stay":[148],"(LOS;":[149],"0.000).":[152],"Sliding-scale":[153,228],"did":[155],"not":[156,176,233,241],"lower":[157],"risk":[159],"other":[163],"complications.":[164,227],"Hypoglycemia":[165],"<70":[167],"occurred":[169],"3.5%":[171],"patients,":[173],"but":[174,232],"related":[177],"use,":[180],"predictable":[183],"clinical":[185],"variables:":[186],"albumin":[187],"0.032),":[190],"operative":[191],"duration":[192],"0.012),":[195],"0.002;":[202],"area":[203],"under":[204],"curve":[206],"[AUC],":[207],"0.86).":[208],"Conclusions:Our":[209],"data":[210],"confirm":[211],"safe":[231],"effective.":[234],"Treatment":[235],"before":[236],"reached,":[240],"its":[243],"occurrence,":[244],"may":[245],"be":[246],"beneficial.":[247]},"counts_by_year":[{"year":2025,"cited_by_count":1},{"year":2024,"cited_by_count":2}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2023-03-23T00:00:00"}
