The effects of hyperglycemia on skin graft survival in the burn patient

A. Mowlavi, K. Andrews, S. Milner, D. N. Herndon, J. P. Heggers

Research output: Contribution to journalArticle

68 Scopus citations

Abstract

The authors elected to determine the relative effects of hyperglycemia and/or elevated wound Gram-positive bacterial counts on success of skin graft survival in 74 burn patients. Results of serum glucose and quantitative wound biopsies on the day of admission and on postoperative day 4 were charted. Cases were separated into the following groups for analysis: normoglycemia plus normal bacterial counts, elevated bacterial counts only, hyperglycemia only, and hyperglycemia plus elevated bacterial counts. Successful graft 'take' was defined as survival of 80% to 100% of the grafted area as assessed on postoperative day 4. Significant results included decreased incidence of graft take for groups with hyperglycemia only (62.5%), elevated bacterial counts only (63.3%), as well as hyperglycemia plus elevated bacterial counts (54.5%) when compared with the group with normoglycemia plus normal bacterial counts (92.8%; p = 0.020, p = 0.042, p = 0.012 respectively) for physiological parameters measured on postoperative day 4 only. Additionally, incidence of graft take was reassessed and found to be decreased significantly in groups with hyperglycemia (60.0%) vs. groups with normoglycemia (84.6%), regardless of Gram-positive bacterial counts (p = 0.034).

Original languageEnglish (US)
Pages (from-to)629-632
Number of pages4
JournalAnnals of plastic surgery
Volume45
Issue number6
DOIs
StatePublished - Jan 1 2000

ASJC Scopus subject areas

  • Surgery

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    Mowlavi, A., Andrews, K., Milner, S., Herndon, D. N., & Heggers, J. P. (2000). The effects of hyperglycemia on skin graft survival in the burn patient. Annals of plastic surgery, 45(6), 629-632. https://doi.org/10.1097/00000637-200045060-00010