Impact of Perioperative Dexamethasone on Hospital Length of Stay and Glycemic Control in Patients with Type 2 Diabetes Undergoing Total Hip Arthroplasty

Dexamethasone can be administered during surgical procedures to relieve subsequent pain and nausea, but this anti-inflammatory steroid also increases insulin resistance. This study presented in this article investigated how use of dexamethasone during a total hip replacement affected surgery outcomes and glycemic levels in patients with type 2 diabetes mellitus. It found that patients who received dexamethasone had a significantly shorter hospital stay, on average, while maintaining similar glycemic control as those not receiving dexamethasone during surgery. Authors concluded that while patients with diabetes can safely receive perioperative dexamethasone – and thus experience less vomiting – those taking insulin may benefit from having their postoperative care managed by diabetes specialists.

Target Audience

This course is intended for the following specialties:
Cardiology, Family Practice, Gastroenterology, General Surgery, Hematology/Oncology, Infectious Disease, Internal Medicine, Neurology, Obstetrics/Gynecology, Pain Management, Pathology, Pediatric Medicine

Learning Objectives

At the end of this session, learners should be able to:

  1. Understand and apply the wide array of evidence-based medicine, guidelines and best practices required for optimal patient care.
  2. Recognize the patient's perspective and show proper communication skills and shared decision making.
Course summary
Available credit: 
  • 1.00 AMA PRA Category 1 Credit™
    Aurora Health Care is accredited by the Wisconsin Medical Society to provide continuing medical education for physicians. Aurora Health Care designates this activity for a maximum of 1.00 AMA PRA Category 1 Credit(s)TM. Physicians should only claim credit commensurate with the extent of their participation in the activity.
  • 1.00 Attendance
    Attendance Credit
    • 1.00 Approved AMA PRA Category 1 Credit™
Course opens: 
01/01/2023
Course expires: 
12/31/2025
Cost:
$0.00
Part of: 
Journal of Patient-Centered Research and Reviews Articles
Rating: 
0

Faculty

John Brill, MD, VP Pop Hlth Sciences & Research; Advocate Aurora Health
Joseph Grundle, Project Coordinator Sr; Advocate Aurora Health

Disclosure

The planner(s) and speaker(s) have indicated that there are no relevant financial relationships with any ineligible companies to disclose.

 

 

Accreditation Statement
In support of improving patient care, Advocate Aurora Health is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

 

Credit Statement(s)

American Medical Association (AMA) 
Advocate Aurora Health designates this enduring activity for a maximum of 1.00 AMA PRA Category 1 Credits™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

 

Available Credit

  • 1.00 AMA PRA Category 1 Credit™
    Aurora Health Care is accredited by the Wisconsin Medical Society to provide continuing medical education for physicians. Aurora Health Care designates this activity for a maximum of 1.00 AMA PRA Category 1 Credit(s)TM. Physicians should only claim credit commensurate with the extent of their participation in the activity.
  • 1.00 Attendance
    Attendance Credit
    • 1.00 Approved AMA PRA Category 1 Credit™

Price

Cost:
$0.00
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Contact the Advocate Aurora Health CME Office at cme@aah.org if you have any questions or need assistance.