The effect of diabetes mellitus on short term mortality and morbidity after isolated coronary artery bypass grafting surgery.

IF 0.2 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS
Vahideh Koochemeshki, Hamid Reza Salmanzadeh, Hojjat Sayyadi, Morteza Amestejani, Shahyad Salehi Ardabili
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引用次数: 0

Abstract

Background: This study was conducted to determine whether Diabetes Mellitus (DM) is a predictor of short term mortality ; morbidity, or early readmission to hospital after Coronary Artery Bypass Graft (CABG).

Methods: We analyzed a large cohort of 952 patients who had undergone isolated CABG. The preoperative, intera operative and postoperative risk factors as well as the complications and 30-day mortality rates were compared between the diabetics and non-diabetics. Among the 952 patients; 734 ones (77.1%) were in non-diabetic group and 218 (22.9%) were diabetics.

Results: Having DM did not increase the risk of 30-day mortality. In addition, DM did not affect the major complications; arrhythmia, Myocardial Infarction(MI), infective complications, neurological complications, Pulmonary Embolism (PE) except renal complications that was higher in the diabetics (5.5% vs 1.4%; P<0.001, OR=4.2) However reoperation for bleeding was higher in non-diabetic patients (7.9% vs 4.6%; P=0.009, OR=1.7). Nevertheless ,no significant difference was observed between the two groups regarding mechanical ventilation time (hour), reintubation, length of ICU stay (day), length of hospital stay (day), and readmitting as postoperative variables.

Conclusions: Except for renal complications, DM was not associated with adverse outcomes in the patients undergoing isolated CABG.

糖尿病对孤立冠状动脉旁路移植手术后短期死亡率和发病率的影响。
背景:本研究旨在确定糖尿病(DM)是否是冠状动脉旁路移植术(CABG)后短期死亡率、发病率或早期再入院的预测因素:我们分析了952名接受孤立CABG手术的患者。对糖尿病患者和非糖尿病患者的术前、术中和术后风险因素以及并发症和 30 天死亡率进行了比较。在952名患者中,非糖尿病组有734人(77.1%),糖尿病组有218人(22.9%):结果:糖尿病不会增加 30 天死亡的风险。此外,糖尿病并不影响主要并发症:心律失常、心肌梗死(MI)、感染性并发症、神经系统并发症、肺栓塞(PE),但肾脏并发症在糖尿病患者中发病率较高(5.5% 对 1.4%;PC结论:除肾脏并发症外,糖尿病与接受孤立 CABG 患者的不良预后无关。
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来源期刊
International Cardiovascular Research Journal
International Cardiovascular Research Journal CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
0.40
自引率
50.00%
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0
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