Predictors of postoperative complications in the patient with diabetes mellitus

Journal of Diabetes and Its Complications
Laurent S TaoMary E Charlson

Abstract

Since patients with diabetes mellitus have increased rates of cardiovascular morbidity and mortality, it is critical to evaluate cardiovascular risk perioperatively. Although several preoperative risk indices have been developed, including the Goldman and Detsky indices, none have been designed specifically for diabetic patients. In this study, we attempted to identify predictors of postoperative cardiac and noncardiac complications in diabetic patients undergoing elective general surgery. A cohort of 107 diabetic patients undergoing elective surgery was assembled. Basic demographic and clinical data were recorded perioperatively, and all patients were followed up prospectively daily for 7 days postoperatively. Patients were interviewed at 5 years postoperatively. Univariate and multivariate analyses were performed to identify predictors of postoperative complications and long-term cardiac and vascular morbidity and mortality. Total cardiac complications and myocardial infarction were predicted by the Goldman index. Wound complications were not predicted by any of the variables studied. At 5 years postoperatively, cardiac and vascular deaths and events were predicted by age, history of myocardial infarction or stroke, presence ...Continue Reading

References

Jan 1, 1979·Circulation·W B Kannel, D L McGee
Oct 20, 1977·The New England Journal of Medicine·L GoldmanE E Slater
May 1, 1992·Annals of Internal Medicine·T Wong, A S Detsky
Feb 1, 1991·Surgery, Gynecology & Obstetrics·M E CharlsonG T Shires
Nov 9, 1989·The New England Journal of Medicine·K A Eagle, C A Boucher
Aug 1, 1987·The Annals of Thoracic Surgery·A A AttumA M Lansing
Jul 1, 1986·Journal of General Internal Medicine·A S DetskyJ R Hilliard
Jun 1, 1995·Diabetes Care·I B HirschJ Brunzell
Sep 30, 1993·The New England Journal of Medicine·UNKNOWN Diabetes Control and Complications Trial Research GroupC Siebert
Mar 10, 1997·Archives of Internal Medicine·W S QuealeF L Brancati
May 13, 1999·The Annals of Thoracic Surgery·V H ThouraniR A Guyton
May 27, 1999·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·P J ConlonK Landolfo
Aug 10, 1999·Circulation·C W HogueV G Dávila-Román
Sep 9, 2000·Annals of Internal Medicine·K GilbertL T Patrick
Jan 15, 2008·Journal of Diabetes and Its Complications·Laurent S TaoMary E Charlson

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Citations

May 24, 2013·Journal of Anesthesia·Tomonori MatsuyamaKohei Kawashima
Jun 11, 2009·Current Opinion in Critical Care·S Ramani MoonesingheMichael P W Grocott
Feb 12, 2013·The Canadian Journal of Cardiology·Nathan W BrunnerNadia A Khan
Jan 15, 2008·Journal of Diabetes and Its Complications·Laurent S TaoMary E Charlson

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