College of Medicine and Health Science
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Item PREVALENCE OF IMMEDIATE POSTOPERATIVE HYPERGLYCEMIA AND ITS ASSOCIATED FACTORS AMONG ELECTIVE PEDIATRIC PATIENTS OPERATED IN THE SOUTHERN ETHIOPIA COMPREHENSIVE SPECIALIZED HOSPITALS: A CROSS-SECTIONAL STUDY(hawassa university, 2024-06) MULUALEM BUNAREBackground: An increase in blood glucose levels immediately after surgery is known as immediate postoperative hyperglycemia, a serious risk for pediatric patients. It is linked to unfavourable results and extended hospital stays. The objective of this study was to assess the prevalence of immediate postoperative hyperglycemia and its associated factors among elective pediatric patients who operated in the southern Ethiopian Comprehensive Specialized Hospitals, 2024 G.C. Methods: A multi-centre cross-sectional study was conducted among 403 elective surgical pediatric patients in three randomly selected University Comprehensive Specialized Hospitals in southern Ethiopia from February 1 to April 30, 2024. Data were collected using a structured and pretested questionnaire and by reviewing patient charts. Two intern anesthesia students at each site collected data. The primary outcome variable was the prevalence of immediate postoperative hyperglycemia. Data were entered into Epidata version 4.6 and exported to SPSS version 26 for analysis. Binary logistic regression identified factors associated with postoperative hyperglycemia, with multivariable logistic regression using Adjusted Odds Ratios (AOR) and 95% confidence intervals to determine associations and statistical significance at a p-value of less than 5%. Result: In this study, the prevalence of immediate postoperative hyperglycemia was found to be 35.7%, 95% CI (31.3-40.8). Neonates (AOR: 4, 95% CI; 1.3-12.9), infants (AOR: 3.4, 95% CI; 1.2-9.76), toddlers (AOR: 3.73, 95% CI; 1.29-10.76), early childhood (AOR: 4.02, 95% CI; 1.47 10.96), general (AOR: 7, 95% CI; 2.4 -20) and regional anaesthesia (AOR 5, 95% CI 1.7-19.5), intraoperative dexamethasone (AOR 3.0, 95% CI 1.65-5.46), dextrose solutions (AOR 3.33, 95% CI 1.67-6.65), and neurosurgical (AOR 3.68, 95% CI 1.19-11.33) and general surgery (AOR 3.66, 95% CI 1.24-10.84) were significantly associated to postop hyperglycemia. Conclusion: The prevalence of immediate postoperative hyperglycemia was 35.7% (95% CI: 31.3 40.8). Recommendations: vigilant glucose monitoring in high-risk pediatric patients post-surgery. Future research should focus on longitudinal studies and interventions to prevent hyperglycemia.