Coronary surgery in patients with diabetes mellitus: a risk-adjusted study on early outcome

• Published in: European journal of cardio-thoracic surgery 2008-08, Vol.34 (2), p.370-375
• Main Authors: Antunes, Pedro E., de Oliveira, J. Ferrão, Antunes, Manuel J.
• Format: Article
• Language: English
• Subjects: Age Factors; Aged; Biological and medical sciences; Cardiology. Vascular system; Coronary Artery Bypass - adverse effects; Coronary artery bypass grafting (CABG); Coronary heart disease; Diabetes mellitus; Diabetes. Impaired glucose tolerance; Diabetic Angiopathies - complications; Diabetic Angiopathies - surgery; Early outcome; Endocrine pancreas. Apud cells (diseases); Endocrinopathies; Epidemiologic Methods; Etiopathogenesis. Screening. Investigations. Target tissue resistance; Female; Heart; Humans; Length of Stay; Male; Mediastinitis - etiology; Medical sciences; Middle Aged; Peripheral Vascular Diseases - complications; Pneumology; Reoperation; Risk factors; Stroke - etiology; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the heart; Treatment Outcome; Ventricular Dysfunction, Left - complications
• ISSN: 1010-7940; 1873-734X
• DOI: 10.1016/j.ejcts.2008.05.008

Objectives: We aimed at determining the effect of diabetes mellitus (diabetes) on short-term mortality and morbidity in a cohort of patients with ischemic disease undergoing coronary artery bypass surgery (CABG) at our institution. Material and methods: A total of 4567 patients undergoing isolated CABG in a 10-year period were studied. Diabetes mellitus was present in 22.6% of the cases but the percentage increased from 19.1% in the beginning to 27% in the end of the study period (p