PMID- 32549095
OWN - NLM
STAT- MEDLINE
DCOM- 20210119
LR  - 20210119
IS  - 1678-9741 (Electronic)
IS  - 0102-7638 (Print)
IS  - 0102-7638 (Linking)
VI  - 35
IP  - 3
DP  - 2020 Jun 1
TI  - Does Type 2 Diabetes Mellitus Increase Postoperative Complications in Patients 
      Submitted to Cardiovascular Surgeries?
PG  - 249-253
LID - 10.21470/1678-9741-2019-0027 [doi]
AB  - OBJECTIVE: To compare the incidence of postoperative complications (PC) between 
      diabetic and nondiabetic patients undergoing cardiovascular surgeries (CS). 
      METHODS: This is a retrospective cross-sectional study, based on the analysis of 
      288 medical records. Patients aged >/= 18 years, admitted to the intensive care 
      unit (ICU) between January 2012 and January 2013, and undergoing coronary artery 
      bypass grafting (CABG) or vascular surgeries were included. The population was 
      divided into those with and without type 2 diabetes mellitus (T2DM), and then it 
      was evaluated the incidence of PC between the groups. RESULTS: The sample 
      included 288 patients, most of them being elderly (67 [60-75] years old) male 
      (64%) subjects. Regarding to surgical procedures, 60.4% of them were undergoing 
      vascular surgeries and 39.6% were in the postoperative period of CABG. The 
      incidence of T2DM in this population was 40% (115), just behind hypertension, 
      with 72% (208). Other risk factors were also observed, such as smoking in 95 
      (33%) patients, dyslipidemias in 54 (19%) patients, and previous myocardial 
      infarction in 55 (19%) patients. No significant difference in relation to PC 
      (bleeding, atrial fibrillation, cardiorespiratory arrest, and respiratory 
      complications) between the groups was observed (P>0.05). CONCLUSION: T2DM has a 
      high incidence rate in the population of critically ill patients submitted to CS, 
      especially in the elderly. However, in this small retrospectively analyzed study, 
      there was no significant increase in PC related to diabetes for patients 
      undergoing CS.
FAU - Padovani, Caue
AU  - Padovani C
AD  - Universidade Nove de Julho Sao Paulo SP Brazil Universidade Nove de Julho - 
      UNINOVE, Campus Vergueiro, Sao Paulo, SP, Brazil.
FAU - Arruda, Regiane Maria da Costa
AU  - Arruda RMDC
AD  - Universidade Nove de Julho Sao Paulo SP Brazil Universidade Nove de Julho - 
      UNINOVE, Campus Vergueiro, Sao Paulo, SP, Brazil.
FAU - Sampaio, Luciana Maria Malosa
AU  - Sampaio LMM
AD  - Universidade Nove de Julho Sao Paulo SP Brazil Universidade Nove de Julho - 
      UNINOVE, Campus Vergueiro, Sao Paulo, SP, Brazil.
LA  - eng
PT  - Journal Article
DEP - 20200601
PL  - Brazil
TA  - Braz J Cardiovasc Surg
JT  - Brazilian journal of cardiovascular surgery
JID - 101677045
SB  - IM
MH  - Aged
MH  - Cardiovascular Surgical Procedures/*adverse effects
MH  - Coronary Artery Bypass/adverse effects
MH  - Cross-Sectional Studies
MH  - *Diabetes Mellitus, Type 2/complications
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Postoperative Complications/epidemiology/etiology
MH  - Retrospective Studies
MH  - Risk Factors
PMC - PMC7299576
OTO - NOTNLM
OT  - Cardiovascular Diseases
OT  - Cardiovascular Surgical Procedures
OT  - Diabetes Mellitus
OT  - Intensive Care Units
OT  - Postoperative Complications
COIS- No conflict of interest.
EDAT- 2020/06/18 06:00
MHDA- 2021/01/20 06:00
PMCR- 2020/05/01
CRDT- 2020/06/18 06:00
PHST- 2020/06/18 06:00 [entrez]
PHST- 2020/06/18 06:00 [pubmed]
PHST- 2021/01/20 06:00 [medline]
PHST- 2020/05/01 00:00 [pmc-release]
AID - 10.21470/1678-9741-2019-0027 [doi]
PST - epublish
SO  - Braz J Cardiovasc Surg. 2020 Jun 1;35(3):249-253. doi: 
      10.21470/1678-9741-2019-0027.