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The goal of this observational study is to investigate how a standard dose of the drug dexamethasone affects blood sugar levels during and after non-cardiac surgery in adult patients.
The main questions it aims to answer are:
Participants are scheduled to receive dexamethasone as part of standard anesthesia care and will undergo their planned surgery. As part of the study, a continuous glucose monitoring (CGM) device will be placed on their upper arm approximately 12 hours before surgery and will remain in place for up to 10 days after the operation. During this period, their blood sugar levels will be measured using both the CGM device and traditional finger-prick tests. CGM readings are blinded for both participants and clinicians. No additional treatments or changes to their standard care will be made as a result of their participation in the study.
The study will include 100 adult patients from the Department of Anesthesiology at Sjællands University Hospital, Roskilde.
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| Measure | Description | Time Frame |
|---|---|---|
| Characterization of hyperglycemia I | Peak glucose level | Up to 10 days postoperatively |
| Characterization of hyperglycemia II | Duration of hyperglycemia | Up to 10 days postoperatively |
| Measure | Description | Time Frame |
|---|---|---|
| Correlation between pre- and postoperative glucose trajectories | How does baseline dysglyceamia (elevated FPG or HbA1C) correlates to intra- and postoperative hyperglycemia | Up to 10 days postoperatively |
| Subgroup analyses |
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Inclusion Criteria:
Exclusion Criteria:
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Adult, surgical population where dexamethasone may be administered as part of anesthetic preparation of the patient for surgery.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Anne M Brinck, MSc Medicine | Contact | +4552119003 | abrinc@regionsjaelland.dk |
| Name | Affiliation | Role |
|---|---|---|
| Anne M Brinck, Msc Medicine | Zealand University Hospital, Roskilde, Denmark | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Zealand University Hospital | Recruiting | Roskilde | 4000 | Denmark |
Study Protocol Statistical Analysis Plan (SAP) Informed Consent Form (ICF) Clinical Study Report (CSR) Analytic Code
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Comparing diabetic vs. non-diabetic patients and patients with obesity (BMI ≥30) vs. non-obese (BMI <30), frail vs non-frail, fasting vs non fasting surgeries
| Up to 10 days postoperatively |