The Effect of Diabetes Mellitus on Short Term Mortality and Morbidity after Isolated Coronary Artery Bypass Grafting Surgery

Vahideh  Koochemeshki; Hamid Reza  Salmanzadeh; Hojjat  Sayyadi; Morteza Amestejani; Shahyad  Salehi Ardabili

International Cardiovascular Research Journal

The Official Annually Journal of Cardiovascular Research Center, Shiraz University of Medical Sciences

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The Effect of Diabetes Mellitus on Short Term Mortality and Morbidity after Isolated Coronary Artery Bypass Grafting Surgery

Author(s):

Vahideh Koochemeshki¹,

Hamid Reza Salmanzadeh¹,

Hojjat Sayyadi²,

Morteza Amestejani^1,*,

Shahyad Salehi Ardabili¹

1Department of Cardio Surgery, Seyed Al-shohada Cardiovascular Center, Urmia University of Medical Sciences, Urmia, Iran

2Department of Biostatistics, Shahid Beheshti University of Medical Sciences, Tehran, Iran

International Cardiovascular Research Journal:Vol. 7, issue 2; e12661

Published online:Jun 30, 2017

Article type:Research Article

Received:May 07, 2017

Accepted:May 17, 2013

How to Cite:Vahideh KoochemeshkiHamid Reza SalmanzadehHojjat SayyadiMorteza AmestejaniShahyad Salehi ArdabiliThe Effect of Diabetes Mellitus on Short Term Mortality and Morbidity after Isolated Coronary Artery Bypass Grafting Surgery.Int Cardiovasc Res J.7(2):e12661.

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.

Keywords

Diabetes

Postoperative Complications

Coronary Artery Bypass Graft

Morbidity

Mortality

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