Use of glycosylated hemoglobin to identify diabetics at high risk for penile periprosthetic infections.
作者： Jay R. Bishop , Judd W. Moul , Stephen A. Sihelnik , Dennis S. Peppas , Thomas S. Gormley
DOI: 10.1016/S0022-5347(17)37244-0
关键词: Prosthesis 、 Hemoglobin 、 Surgery 、 Penile prosthesis 、 Diabetes mellitus 、 Population 、 Prospective cohort study 、 Periprosthetic 、 Hemoglobin A 、 Internal medicine 、 Gastroenterology 、 Medicine
摘要: AbstractWe report an 18-month prospective study of 90 patients undergoing penile prosthesis implantation to evaluate a possible cause-and-effect relationship between degree diabetic control and the risk infection complicating operation. Long-term was objectively evaluated by measurement glycosylated hemoglobin patient, which is known provide objective value for preceding 60 days. Of 5 (5.5%) had periprosthetic requiring explantation all infections occurred in 32 diabetics (36%) population (p <0.009). 13 (41.1%) were poorly controlled with time as demonstrated level greater than 11.5% 4 this group. 19 remaining (glycosylated less 11.5%) only 1 occurred. Therefore, 31% versus 5% adequately contr...
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