Not So Sweet: Preoperative Diabetes Screening in the Total Joint Population
Amber L Smith1,2,3,4,5, Beth Quatrara1,2,3,4,5, Kimberly Miller1,2,3,4,5
1Amber L. Smith, DNP, APRN, AGACCNS-BC, CMSRN , Tripler Army Medical Center, Honolulu, HI.
Preoperative diabetes screening using the American Diabetes Association (ADA) Risk Test identified many undiagnosed patients at risk for diabetes. This supports integrating the ADA Risk Test for better surgical patient optimization.
Area of Science:
- Endocrinology
- Surgical Patient Optimization
- Public Health Screening
Background:
- Effective preoperative screening for prediabetes and diabetes is crucial for reducing surgical complications.
- Current protocols for preoperative diabetes screening lack standardization, necessitating evidence-based approaches.
Purpose of the Study:
- To examine the implementation of preoperative diabetes screening in elective total joint replacement patients.
- To assess the utility of the American Diabetes Association (ADA) Risk Test in identifying at-risk surgical patients.
Main Methods:
- The American Diabetes Association (ADA) Risk Test was utilized to screen 121 patients undergoing elective total joint surgery.
- Risk assessment guided further diagnostic testing for diabetes and prediabetes.
Main Results:
- 55 patients (45.5%) were identified as undiagnosed and at risk for diabetes based on the ADA Risk Test.
- Twelve of these at-risk patients (21.8%) exhibited elevated fasting blood glucose levels, indicating potential prediabetes.
Conclusions:
- The ADA Risk Test is a feasible and valuable tool for preoperative diabetes screening in surgical populations.
- Integrating this screening can identify at-risk patients, enabling targeted interventions and improved surgical outcomes.
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