Can Pre-Operative HbA1c Values in Coronary Surgery be a Predictor of Mortality?

Turkish Journal of Anaesthesiology and Reanimation
Bahar AydınlıMustafa Özdemir

Abstract

One of the most frequently studied parameters in terms of outcome estimation in cardiac surgery is HbA1c. Several studies in literature suggest that high HbA1c value increases mortality and morbidity, but there is no relation between them. The primary aim of the present study is to investigate whether HbA1c value in diabetic patients undergoing coronary bypass graft surgery is an independent predictor for post-operative mortality and morbidity, and our secondary goal was to determine independent risk factors that cause mortality and morbidity in the same patient population. 380 diabetic patients diagnosed with diabetes who underwent coronary surgery with cardiopulmonary bypass in Mersin State hospital between July 2014 to December 2016 after the approval of the Mersin University Faculty of medicine ethics committee were included in this retrospective, observational, and cross-sectional study. Patient demographic and perioperative information were obtained from the electronic information operating system and from anesthesia-intensive care follow-up forms. The HbA1c threshold was accepted as 7%, which was reported to be more appropriate for evaluating high-risk groups. Three hundred and fifty-four patients with complete access to...Continue Reading

Citations

Jun 29, 2021·The Journal of Thoracic and Cardiovascular Surgery·Claudio CorazzariRoberto Lorusso

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