Clinical features and outcomes in patients with diabetes mellitus undergoing coronary artery bypass graft in a reference center in southern Brazil

Rev Assoc Med Bras (1992). 2011 Mar-Apr;57(2):200-4. doi: 10.1590/s0104-42302011000200019.
[Article in English, Portuguese]

Abstract

Objective: To describe clinical/laboratory features of patients undergoing coronary artery bypass graft (CABG) in a cardiology reference center.

Methods: Cohort study; data from patients undergoing CABG (January 2004 to February 2006, n = 717) were evaluated for clinical/laboratory features before, during and after surgery (infections, duration of hospital stay, deaths).

Results: Patients were 61.9 ± 11 years old, 67.1% males, 29.6% diabetics. Intraoperatively, diabetics had a central venous catheter placed for a longer period (p < 0.001), but extracorporeal circulation, aortic clamping and total surgery times were similar to those for non-diabetics. Infection occurred in 19.1% of patients (40.1% diabetics vs. 10.3% non-diabetics, p < 0.001). The duration of hospital stay was longer for patients with diabetes vs. non-diabetic patients, but there was no difference in deaths between the two groups (p = 0.797).

Conclusion: Patients with diabetes undergoing CABG develop more infectious diseases and stay longer in hospital than non-diabetics.

MeSH terms

  • Aged
  • Coronary Artery Bypass*
  • Coronary Artery Disease / surgery*
  • Diabetes Complications
  • Diabetes Mellitus*
  • Diabetic Angiopathies / surgery*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Postoperative Complications
  • Treatment Outcome