Part I: triggers for an evidence based practice project: managing peri-operative hyperglycemia in total hip and total knee replacement surgeries

Maryline Dolor; Michele Hadano; Rene'e W Latimer

doi:10.1016/j.cnur.2014.05.003

Part I: triggers for an evidence based practice project: managing peri-operative hyperglycemia in total hip and total knee replacement surgeries

Nurs Clin North Am. 2014 Sep;49(3):291-8. doi: 10.1016/j.cnur.2014.05.003.

Authors

Maryline Dolor¹, Michele Hadano², Rene'e W Latimer³

Affiliations

¹ QET 8DH/Ortho Joint Trauma, The Queen's Medical Center, 1301 Punchbowl Street, Honolulu, HI 96813, USA. Electronic address: mdolor@queens.org.
² QET 8DH/Ortho Joint Trauma, The Queen's Medical Center, 1301 Punchbowl Street, Honolulu, HI 96813, USA.
³ Queen Emma Nursing Institute, The Queen's Medical Center, 1301 Punchbowl Street, Honolulu, HI 96813, USA.

PMID: 25155529
DOI: 10.1016/j.cnur.2014.05.003

Abstract

A descriptive study of risk factors for surgical site infection (SSI) in patients receiving total knee arthroplasty discovered an infection rate higher than the benchmark. Although no risk factors were significant predictors of SSI in this population, an important finding was that, despite a patient population with comorbid diabetes, a lack of standardized practice related to the identification and management of hyperglycemia was identified. These findings identified and validated an important practice issue and led to the continued commitment to improve glucose management. In this way, a study was a trigger for improved nursing practice using evidence-based practice.

Keywords: Hip; Hyperglycemia; Knee; Replacement; Surgery; Surgical Site Infection.

MeSH terms

Arthroplasty, Replacement, Hip / methods*
Arthroplasty, Replacement, Knee / methods*
Evidence-Based Practice*
Humans
Hyperglycemia / etiology
Hyperglycemia / therapy*
United States