Continuous Glucose Monitoring in Noncardiac Surgery
Author Information
Author(s): Putzu Alessandro, Grange Elliot, Schorer Raoul, Schiffer Eduardo, Gariani Karim
Primary Institution: Geneva University Hospitals, Geneva, Switzerland
Hypothesis
What is the impact of continuous glucose monitoring (CGM) on glycaemic control and clinical outcomes in noncardiac surgery patients?
Conclusion
The impact of CGM on postoperative glycaemic control and complications compared to point-of-care testing remains unknown due to the limited number of controlled studies.
Supporting Evidence
- Twenty-six studies involving 1016 patients were included in the review.
- CGM detected significant variability in glucose levels across various surgical specialties that depended on diabetic status.
- Device-related adverse events were rare, although device dysfunction occurred in approximately 10% of cases.
Takeaway
This study looked at how well continuous glucose monitoring works for patients having surgery that isn't heart-related. It found that while it can help track blood sugar levels, we still need more research to see how it affects recovery.
Methodology
A systematic review of 26 studies assessing the glycaemic profile and clinical outcomes of patients using CGM during noncardiac surgery.
Potential Biases
Many studies had methodological quality rated as poor, and some reported potential conflicts of interest.
Limitations
The review is limited by the lack of controlled studies and variability in study designs and patient characteristics.
Participant Demographics
Participants included adults undergoing various types of noncardiac surgeries, with a diabetes prevalence ranging from 0% to 100%.
Digital Object Identifier (DOI)
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