Lack of association of diabetes with increased postoperative mortality and cardiac morbidity: results of 6565 major vascular operations

Archives of Surgery
Allen D HamdanFrank B Pomposelli

Abstract

A number of preoperative factors, including diabetes mellitus (DM), have been cited as increasing risk in patients undergoing major vascular operations. In smaller studies at our institution we have not found this to be apparent. This study reviewed all major vascular operations to confirm our bias that DM is not associated with increased mortality or cardiac morbidity. Case series retrospectively reviewed from a vascular registry established in 1990. Tertiary care center. Consecutive sample of 6565 patients who underwent lower extremity revascularization or carotid or aortic procedures, grouped by presence or absence of DM. Postoperative mortality, congestive heart failure, or myocardial infarction. Patients with DM made up 62.3% of the population, and those without diabetes, 37.7%. Average age of the DM group was 67.1 years, with 61.3% male and 38.7% female. Average age of the non-DM group was 70.6 years, with 61.8% male and 38.2% female. The rates of overall postoperative mortality, myocardial infarction, and congestive heart failure were 1.14%, 1.59%, and 1.13%, respectively. Comparing the DM with the non-DM group, these rates were 0.96% vs 1.46%, 1.77% vs 1.30%, and 1.13% vs 1.14%, respectively. Using multivariate analysis...Continue Reading

Citations

Sep 18, 2007·Spine·James A BrowneWilliam J Richardson
Oct 24, 2007·World Journal of Surgery·Gautam V ShrikhandeMarc Schermerhorn
Jun 1, 2006·Current Opinion in Anaesthesiology·Vivek K Moitra, Steffen E Meiler
Apr 25, 2009·Acta Anaesthesiologica Scandinavica·M KrolikowskaM Hynynen
Sep 8, 2018·VASA. Zeitschrift für Gefässkrankheiten·Andreja DimicLazar Davidovic
Jan 19, 2019·Journal of Clinical Medicine·Chao-Shun LinChien-Chang Liao
Feb 5, 2019·Journal of Vascular Surgery·Alexander B PothofMarc L Schermerhorn
Jan 24, 2007·Anesthesiology Clinics·Aviv Tuttnauer, Phillip D Levin
Jan 20, 2006·Annales de dermatologie et de vénéréologie·N Ferreira-MaldentJ L Guilmot

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