Scientific Reports, Journal Year: 2024, Volume and Issue: 14(1)

Published: Dec. 2, 2024

The association between admission hyperglycemia and postoperative pneumonia is unclear in hip fracture patients. We investigated the relationship after surgery. This retrospective study analyzed data from 1,267 geriatric patients admitted for fractures. Patients were categorized into normoglycemic (< 6.10 mmol/L) hyperglycemic (≥ groups based on blood glucose levels. Multivariable logistic regression propensity score matching (PSM) used to control potential confounding variables estimate adjusted odds ratios 95% confidence intervals (POP). also examined dose-dependent link likelihood of developing POP. Further analyses evaluated whether has differing impacts POP outcomes among without diabetes (NDM) versus those with (DM). Additionally, subgroup conducted assess influence other factors occurrence. had significantly higher rates compared patients, both before (13.2% vs. 4.8%) (10.1% 5.8%) PSM. Admission an independent risk factor (OR = 2.64, CI: 1.42–4.92, p 0.002). persisted PSM(OR 2.90, 1.35–3.86, 0.016). levels correlated a greater A dose–response was observed Non-diabetic group at than diabetic hyperglycemia. Finally, increased modulated influenced by ASA classification patient. surgery elderly. There occurrence POP, which more significant non-diabetic

Language: Английский