Incidence of Undiagnosed and Poorly Controlled Diabetes Mellitus Among Surgical Patients and Its Association With Perioperative Outcomes: a Single-centre Prospective Cohort Study
Trial Snapshot
- Phase
- Not Applicable
- Sponsor
- Singapore General Hospital
- Enrollment
- 888
- Locations
- 1
- Primary Endpoint
- Diabetes incidence
Study Overview
Brief Summary
Our study aims to determine the incidence of undiagnosed and poorly controlled diabetes among surgical patients in Singapore using preoperative HbA1c as a screening tool.
Detailed Description
The study aims to determine the incidence of undiagnosed and poorly controlled diabetes among surgical patients in Singapore using preoperative HbA1c as a screening tool.
The investigators aim to follow up on the incidence of perioperative complications in this cohort. In the longer term, the investigators hope to evaluate the role of a preoperative diabetic screening and intervention program as an opportunistic "teachable moment" for surgical patients. This may help to achieve greater control of the disease burden in Singapore.
Specific aims:
Specific Aim 1: To establish the incidence of undiagnosed diabetes/prediabetes among surgical patients in Singapore, based on HbA1c level ≥ 6.1% prior to surgery Specific Aim 2: To establish the incidence of poorly-controlled diabetes among surgical patients in Singapore, based on HbA1c level ≥ 8% prior to surgery Specific Aim 3: To identify and characterize any association between preoperative HbA1c level and postoperative outcomes
Study Design
- Study Type
- Observational
- Observational Model
- Cohort
- Time Perspective
- Prospective
Eligibility Criteria
- Ages
- 21 Years to 99 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Age >21 years old
- •able to give informed consent
- •Scheduled to have preoperative blood taken during clinic visit
Exclusion Criteria
- •Age < 21 years old
- •unable to given informed consent
- •Not required to have routine preoperative blood tests taken
Outcomes
Primary Outcomes
Diabetes incidence
Time Frame: 12 months
To determine the incidence of undiagnosed and poorly controlled diabetes among surgical patients in Singapore
Secondary Outcomes
- Association of HbA1C levels with post operative complications(12 months)