Implementation of perioperative glucose management bundles1  through integration of technology with clinical decision support systems was recently presented by Ehrenfeld et al.2  Although their results suggest an association between optimal glucose control and reduction in surgical site infections, the authors did not clearly discuss whether the implementation of the glucose bundle was unique or associated with other quality improvement initiatives earlier or concurrently initiated with the study. In addition, the glycosylated hemoglobin (HgbA1C) value, after the propensity score matching, is missing from table 2 in Ehrenfeld et al.

The author is grateful to UTHealth (Houston, Texas) and Memorial Hermann Hospital (Houston, Texas) for support.

The author declares no competing interests.

1.
Duggan
EW
,
Carlson
K
,
Umpierrez
GE
:
Perioperative hyperglycemia management: An update.
Anesthesiology
2017
;
126
:
547
60
2.
Ehrenfeld
JM
,
Wanderer
JP
,
Terekhov
M
,
Rothman
BS
,
Sandberg
WS
:
A perioperative systems design to improve intraoperative glucose monitoring is associated with a reduction in surgical site infections in a diabetic patient population.
Anesthesiology
2017
;
126
:
431
40