Contemporary Outcomes of Coronary Artery Bypass Grafting Among Patients With Insulin-Treated and Non-Insulin-Treated Diabetes

The Annals of Thoracic Surgery
Zhongmin LiEhrin J Armstrong

Abstract

More than 40% of patients undergoing coronary artery bypass grafting (CABG) have diabetes. However, it is unknown how insulin treatment status influences cardiac surgical outcomes among patients with diabetes. All isolated CABG, CABG plus aortic valve replacement or plus mitral valve repair/replacement procedures performed in 2012 were extracted from the California CABG Outcomes Reporting Program database. Patients were grouped into three categories: (1) no diabetes, (2) non-insulin-treated diabetes (NITDM), and (3) insulin-treated diabetes (ITDM). Demographic and clinical baseline characteristics and observed postoperative major adverse events, including 30-day mortality, stroke, deep sternal wound infection, prolonged ventilation, new dialysis requirement, renal failure, and 30-day readmission were compared. Multivariable logistic regression models were developed for predicting the impact of NITDM and ITDM on postoperative major adverse events. A total of 14,051 patients underwent isolated CABG or CABG plus aortic/mitral valve procedures in California during 2012; 6700 (47.7%) had no diabetes, 5165 (36.8%) had NITDM, and 2183 (15.6%) had ITDM. Compared with the nondiabetic and NITDM groups, the ITDM group was younger, more fr...Continue Reading

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Citations

Dec 24, 2018·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·Daljeet ChahalMustafa Toma
Dec 1, 2018·Cardiovascular Diabetology·Alexander KoganLeonid Sternik
Nov 26, 2020·Interactive Cardiovascular and Thoracic Surgery·Kohei HachiroTohru Asai
Sep 5, 2019·The American Journal of Cardiology·John E BrushBrynn E Sheehan

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