Mortalidade perioperatória em diabéticos submetidos à cirurgia de revascularização miocárdica

Sá, Michel Pompeu Barros de Oliveira; Soares, Evelyn Figueira; Santos, Cecília Andrade; Figueiredo, Omar Jacobina; Lima, Renato Oliveira Albuquerque; Escobar, Rodrigo; Rueda, Fábio Gonçalves de; Lima, Ricardo de Carvalho

doi:10.1590/s0100-69912012000100006

Cited by 2 publications

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References 16 publications

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“…Moreover, the presence of DM is considered to be an independent risk factor for postoperative mortality after CABG, with an odds ratio of 1.73 for cardiovascular death and 2.94 for overall mortality [ 8 , 9 ] . In Brazil, a study shows mortality as high as 11.8% in diabetic patients [ 10 ] . But another one with octogenarian patients did not found differences in mortality [ 11 ] .…”

Section: Introductionmentioning

confidence: 99%

Prognosis and Complications of Diabetic Patients Undergoing Isolated Coronary Artery Bypass Surgery

Santos¹,

Berto²,

Sousa³

et al. 2015

Brazilian Journal of Cardiovascular Surgery

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Objective:Compare the prognosis and complications of diabetic and non-diabetic patients undergoing isolated coronary artery bypass surgery at a hospital with a high surgical volume.Methods:Data of patients who underwent coronary artery bypass surgery from June 2009 to July 2010 were analyzed. We selected diabetic and non-diabetic patients and evaluated their postoperative and long-term prognosis based on clinical complications. To reduce the disparity within the sample, statistical analyses were performed using propensity scores.Results:We included 2,688 patients who underwent coronary artery bypass surgery; 36% of them had diabetes, their mean age was 62.1±9.49 years and 70% (1,884) of them were men. Patients with diabetes were older (63±9 years vs. 61±10 years; P<0.001), more often obese (BMI>25 kg/m2: 70.7% vs. 64.5%; P<0.001), dyslipidemic (50.4% vs. 41.1%; P<0.001), hypertensive (89.2% vs. 78.7%; P<0.001), and presented chronic renal failure (8.3% vs. 3.8%; P<0.001). They also presented higher rates of acute renal failure (5.6% vs. 2.7%, P<0.001), infection (11.4% vs. 7.2%, P<0.001) and mortality after one year (9.1% vs. 5.6%, P<0.001). Pneumonia was more common among patients with diabetes (7.7% vs. 4.0%, P<0.001). According to propensity scoring, 430 patients (215 diabetics and 215 non-diabetics) had a mean age of 61.3±8.97 years, and 21.2% (91 of 430) were women. However, diabetes was not an independent factor for poor prognosis.Conclusion:Patients with diabetes were at higher risk for postoperative complications and mortality after undergoing coronary artery bypass surgery. However, diabetes did not explain the poor prognosis of these patients after pairing this factor with the propensity score.

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Section: Introductionmentioning

confidence: 99%

Prognosis and Complications of Diabetic Patients Undergoing Isolated Coronary Artery Bypass Surgery

Santos¹,

Berto²,

Sousa³

et al. 2015

Brazilian Journal of Cardiovascular Surgery

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“…Estudio comparando pacientes diabéticos y no diabéticos sometidos a revascularización del miocardio con el uso de dos injertos de arteria mamaria interna mostró incidencia semejante de morbidad y mortalidad entre ambos grupos de pacientes (10) , así como encontrado en este estudio. Por otro lado, Sá (19) encontró una tasa de mortalidad de 11,8% en el periodo intrahospitalario en pacientes diabéticos sometidos a cirugía de revascularización del miocardio. Datos en que se puede percibir que el riesgo quirúrgico en pacientes diabéticos pueden estar relacionados con más factores contribuyentes para el desencadenamiento de más complicaciones postoperatorias.…”

Section: Discussionunclassified

Análise do trans e pós-operatório de indivíduos com diabetes melitus submetidos a cirurgia cardíaca

Giordani¹,

Loro

Dallazen³

et al. 2015

eglobal

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La investigación trata de analizar la presencia de complicaciones en los pacientes diabéticos y no diabéticos sometidos a cirugía cardíaca. Estudio analítico de corte transversal. Se incluyeron 50 pacientes sometidos a cirugía cardíaca y se analizaron según la presencia o ausencia de diabetes mellitus, cada grupo contiene 25 pacientes. La recolección de datos se realizó mediante el análisis de la historia clínica del paciente. De los 30 procedimientos quirúrgicos fueron CABG (60 %), TRVA 11 (22%), TrVM 6 (12 %), CRM TRVA + 1 (2 %), TRVA TrVM + 1 (2 %) y TRVA TRVP + 1 (2%). La población del estudio tenía una edad media de 60,4 años en el grupo de diabéticos y 56 años en el grupo de no diabéticos. En cuanto a los factores de riesgo, la hipertensión 19 (76,0 %) tenía diferencias que prevalecen en el grupo de diabéticos. En cuanto a las complicaciones postoperatorias se observó un mayor número de complicaciones hemodinámicas y respiratorias entre el postoperatorio inmediato hasta el tercer día del postoperatorio en ambos grupos. A partir de las respuestas se puede decir que no existen diferencias estadísticamente significativas entre las variables, por lo tanto, llegamos a la conclusión de que la diabetes mellitus, solo, no fue un factor agravante de la cirugía trans y post- cardiaca.<br /><br />

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Mortalidade perioperatória em diabéticos submetidos à cirurgia de revascularização miocárdica

Abstract: This study identified the following independent risk factors for death after CABG: on-pump CABG and low cardiac output syndrome. The use of ITA was an independent protective factor.

Cited by 2 publications

References 16 publications

Prognosis and Complications of Diabetic Patients Undergoing Isolated Coronary Artery Bypass Surgery

Prognosis and Complications of Diabetic Patients Undergoing Isolated Coronary Artery Bypass Surgery

Análise do trans e pós-operatório de indivíduos com diabetes melitus submetidos a cirurgia cardíaca

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