{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T18:50:57Z","timestamp":1767207057396,"version":"build-2238731810"},"reference-count":23,"publisher":"AACN Publishing","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2014,7,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The Surgical Care Improvement Project #4 (SCIP#4) performance measure is used to evaluate achievement of target blood glucose control after cardiac surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>The purpose of this study was to identify patient characteristics and outcomes in patients undergoing cardiac surgery who met the SCIP#4 performance measure versus those who did not.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective case-control design was used.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Preoperative hemoglobin A1C (HbA1C) level and history of diabetes were 2 major risk factors for failing to meet the SCIP#4 measure. A trend toward a longer length of stay was observed, mortality was 3 times more prevalent, and renal failure was 4 times more frequent in patients who did not meet the SCIP#4 quality measure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Not meeting the SCIP#4 measure is associated with adverse outcomes. History of diabetes and preoperative HbAIC level should be considered when evaluating strategies for managing postsurgical hyperglycemia.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4037\/nci.0000000000000028","type":"journal-article","created":{"date-parts":[[2019,11,26]],"date-time":"2019-11-26T08:23:44Z","timestamp":1574756624000},"page":"221-227","source":"Crossref","is-referenced-by-count":2,"title":["Hyperglycemia After Cardiac Surgery"],"prefix":"10.4037","volume":"25","author":[{"given":"Lynda","family":"Stoodley","sequence":"first","affiliation":[{"name":"Lynda Stoodley is Nurse Practitioner, Cardiothoracic Surgery Program, Torrance Memorial Medical Center, 2841 Lomita Blvd, Ste 310, Torrance, CA 90505 (). Shu-Fen Wung is Associate Professor, The University of Arizona College of Nursing, Tuscon, Arizona."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shu-Fen","family":"Wung","sequence":"additional","affiliation":[{"name":"Lynda Stoodley is Nurse Practitioner, Cardiothoracic Surgery Program, Torrance Memorial Medical Center, 2841 Lomita Blvd, Ste 310, Torrance, CA 90505 (). Shu-Fen Wung is Associate Professor, The University of Arizona College of Nursing, Tuscon, Arizona."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2471","reference":[{"issue":"3","key":"2019112610332795900_b1-0250221","doi-asserted-by":"crossref","first-page":"978","DOI":"10.1210\/jcem.87.3.8341","article-title":"Hyperglycemia: an independent marker of in-hospital mortality in patients with undiagnosed diabetes","volume":"87","author":"Umpierrez","year":"2002","journal-title":"J Clin Endocrinol Metabol"},{"issue":"2","key":"2019112610332795900_b2-0250221","doi-asserted-by":"crossref","first-page":"356","DOI":"10.1016\/S0003-4975(96)01044-2","article-title":"Glucose control lowers the risk of wound infection in diabetics after open heart operations","volume":"63","author":"Zerr","year":"1997","journal-title":"Ann Thorac Surg"},{"issue":"2","key":"2019112610332795900_b3-0250221","doi-asserted-by":"crossref","first-page":"352","DOI":"10.1016\/S0003-4975(99)00014-4","article-title":"Continuous intravenous insulin infusion reduces the incidence of deep sternal wound infection in diabetic patients after cardiac surgical procedures","volume":"67","author":"Furnary","year":"1999","journal-title":"Ann Thorac Surg"},{"issue":"5","key":"2019112610332795900_b4-0250221","doi-asserted-by":"crossref","first-page":"1007","DOI":"10.1067\/mtc.2003.181","article-title":"Continuous insulin infusion reduces mortality in patients with diabetes undergoing coronary artery bypass grafting","volume":"125","author":"Furnary","year":"2003","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"4","key":"2019112610332795900_b5-0250221","doi-asserted-by":"crossref","first-page":"302","DOI":"10.1053\/j.semtcvs.2006.04.005","article-title":"Eliminating the diabetic disadvantage: the Portland Diabetic Project","volume":"18","author":"Furnary","year":"2006","journal-title":"Semin Thorac Cardiovasc Surg"},{"issue":"6","key":"2019112610332795900_b6-0250221","doi-asserted-by":"crossref","first-page":"1119","DOI":"10.2337\/dc09-9029","article-title":"American Association of Clinical Endocrinologists and American Diabetes Association consensus statement on inpatient glycemic control","volume":"32","author":"Moghissi","year":"2009","journal-title":"Diabetes Care"},{"issue":"suppl 2","key":"2019112610332795900_b7-0250221","doi-asserted-by":"crossref","first-page":"21","DOI":"10.4158\/EP.10.S2.21","article-title":"Effect of hyperglycemia and continuous intravenous insulin infusions on outcomes of cardiac surgical procedures: the Portland Diabetic Project","volume":"10","author":"Furnary","year":"2004","journal-title":"Endocr Pract"},{"issue":"19","key":"2019112610332795900_b8-0250221","doi-asserted-by":"crossref","first-page":"1359","DOI":"10.1056\/NEJMoa011300","article-title":"Intensive insulin therapy in critically ill patients","volume":"345","author":"van den Berghe","year":"2001","journal-title":"N Engl J Med"},{"issue":"5","key":"2019112610332795900_b9-0250221","doi-asserted-by":"crossref","first-page":"449","DOI":"10.1056\/NEJMoa052521","article-title":"Intensive insulin therapy in the medical ICU","volume":"354","author":"Van den Berghe","year":"2006","journal-title":"N Engl J Med"},{"key":"2019112610332795900_b10-0250221","unstructured":"National Quality Forum\n          2012\n          ABCs of measurement\n          \n            http:\/\/www.qualityforum.org\/Measuring_Performance\/ABCs_of_Measurement.aspx\n          \n          Accessed June 9, 2014"},{"key":"2019112610332795900_b11-0250221","unstructured":"National Quality Measures\n          Surgical Care Improvement Project: percent of cardiac surgery patients with controlled 6 a.m. postoperative blood glucose\n          \n            http:\/\/www.qualitymeasures.ahrq.gov\/content.aspx?id=46451\n          \n          Accessed June 9, 2014"},{"issue":"2","key":"2019112610332795900_b12-0250221","doi-asserted-by":"crossref","first-page":"590","DOI":"10.1016\/j.jtcvs.2012.09.031","article-title":"Relevance of the Surgical Care Improvement Project on glycemic control in patients undergoing cardiac surgery who receive continuous insulin infusions","volume":"145","author":"McDonnell","year":"2013","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"suppl 1","key":"2019112610332795900_b13-0250221","first-page":"S4","article-title":"Executive summary. 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