Short-term outcomes following coronary artery bypass graft surgery in insulin treated and non-insulin treated diabetes: A tertiary hospital experience in Australia.
Aged
Australia
/ epidemiology
Coronary Artery Bypass
/ adverse effects
Coronary Artery Disease
/ pathology
Diabetes Mellitus
/ drug therapy
Female
Follow-Up Studies
Humans
Hypoglycemic Agents
/ therapeutic use
Insulin
/ therapeutic use
Male
Middle Aged
Postoperative Complications
/ etiology
Prognosis
Retrospective Studies
Tertiary Care Centers
/ statistics & numerical data
Cardiac surgical procedures
Coronary disease
Diabetes mellitus
Thoracic surgery
Journal
Diabetes & metabolic syndrome
ISSN: 1878-0334
Titre abrégé: Diabetes Metab Syndr
Pays: Netherlands
ID NLM: 101462250
Informations de publication
Date de publication:
Historique:
received:
25
10
2019
revised:
21
04
2020
accepted:
24
04
2020
pubmed:
7
5
2020
medline:
29
5
2021
entrez:
7
5
2020
Statut:
ppublish
Résumé
Outcomes after coronary artery bypass graft (CABG) surgery have improved due to advances in surgical technique and post-operative care. We aimed to describe contemporary clinical characteristics and short-term post-operative outcomes in diabetic patients undergoing CABG surgery. A retrospective analysis of patients who underwent CABG surgery over a 4.5-year period in a Western Australian tertiary hospital was performed in September 2019. The cohort was stratified according to pre-operative diabetes status. A total of 1327 patients underwent CABG surgery, of which 572 (43.1%) had diabetes. Diabetic patients were more likely to be female (24.7% vs. 13.9%, p < 0.001) and have dyslipidaemia (83.0% vs. 68.1%, p < 0.001), hypertension (82.0% vs. 68.7%, p < 0.001), raised body mass index (29.8 ± 5.6 vs. 28.7 ± 5.1 kg/m Diabetic patients continue to represent a higher-risk cohort, highlighting the need for further strategies to reduce short-term adverse outcomes following CABG surgery.
Sections du résumé
BACKGROUND AND AIMS
OBJECTIVE
Outcomes after coronary artery bypass graft (CABG) surgery have improved due to advances in surgical technique and post-operative care. We aimed to describe contemporary clinical characteristics and short-term post-operative outcomes in diabetic patients undergoing CABG surgery.
METHODS
METHODS
A retrospective analysis of patients who underwent CABG surgery over a 4.5-year period in a Western Australian tertiary hospital was performed in September 2019. The cohort was stratified according to pre-operative diabetes status.
RESULTS
RESULTS
A total of 1327 patients underwent CABG surgery, of which 572 (43.1%) had diabetes. Diabetic patients were more likely to be female (24.7% vs. 13.9%, p < 0.001) and have dyslipidaemia (83.0% vs. 68.1%, p < 0.001), hypertension (82.0% vs. 68.7%, p < 0.001), raised body mass index (29.8 ± 5.6 vs. 28.7 ± 5.1 kg/m
CONCLUSIONS
CONCLUSIONS
Diabetic patients continue to represent a higher-risk cohort, highlighting the need for further strategies to reduce short-term adverse outcomes following CABG surgery.
Identifiants
pubmed: 32371190
pii: S1871-4021(20)30101-6
doi: 10.1016/j.dsx.2020.04.036
pii:
doi:
Substances chimiques
Hypoglycemic Agents
0
Insulin
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
455-458Informations de copyright
Copyright © 2020 Diabetes India. All rights reserved.
Déclaration de conflit d'intérêts
Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.