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- W3020594149 abstract "INTRODUCTION: Enhanced recovery after surgery (ERAS) pathways are standardized, evidence-based approaches to the care of surgical patients. One component of ERAS pathways is maintaining euglycemia pre- and post-operatively. METHODS: We conducted an IRB approved retrospective cohort study evaluating capillary blood glucose (CBG) values among women on the ERAS cesarean delivery pathway (ERAS CD) during the first year of implementation (4/1/2017–3/31/2018, n=531), compared to historical controls (3/1/2016–2/28/2017, n=661) in the year prior. Pregestational diabetics on insulin prior to pregnancy were excluded. ERAS CD pathway patients received preoperative carbohydrate loading as well as a pre-op, 1-hour post-op, and post-op day 1 and 2 CBG. We compared average CBG and percentage of time in-range, defined as any CBG between 70–140 mg/dL for both pre- and post-operative periods between the baseline and implementation groups using chi-square tests and Student t-tests. RESULTS: The women on the ERAS CD pathway had a significantly higher percentage of in-range CBGs both in the pre- and post-operative time period (pre-op: 84.9% vs. 95.4%, P<.001; post-op: 77.2% vs. 94.3%, P<.001) compared to historical controls. The average pre- and post-operative CBGs were also significantly lower among women on the ERAS CD pathway (pre-op: 93.3±19.3 mg/dL vs. 87.5±15.7, P=.0033; post-op: 109.5±29.2 mg/dL vs. 90.9±17.8 mg/dL, P<.001). CONCLUSION: Women on the ERAS CD pathway had significantly improved CBGs both pre- and post-operatively, as demonstrated by higher percentage of in-range CBGs and lower average CBGs during both time periods. This suggests that ERAS CD pathways may improve perioperative euglycemia, but further studies are needed to evaluate this." @default.
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- W3020594149 date "2020-05-01" @default.
- W3020594149 modified "2023-09-27" @default.
- W3020594149 title "An Enhanced Recovery After Surgery Pathway for Cesarean Delivery May Improve Perioperative Euglycemia [04P]" @default.
- W3020594149 doi "https://doi.org/10.1097/01.aog.0000663968.38640.8e" @default.
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