Objective
The diabetic population has a high prevalence of coronary artery disease, and
frequently patients with diabetes undergo coronary artery bypass graft
(CABG) surgery. Elevated glycated hemoglobin (HbA1c) in diabetics is shown
to be associated with morbidity and mortality, but the association of HbA1c
with postoperative length of hospital stay (LOS) has conflicting results. In
this study, we aim to identify if elevated HbA1c levels are associated with
prolonged LOS after CABG surgery.
Methods
A retrospective chart review study was performed, using a total of 305
patients who were referred for CABG surgery. HbA1c levels were measured
before the day of surgery. Patients were classified into two groups
according to HbA1c levels: <7% and ≥7%. A LOS of more than 14 days
was proposed as an extended LOS. HbA1c and the LOS relationship were
assessed using appropriate statistical methods.
Results
Patients who had diabetes mellitus comprised 81.6% of our studied population.
Sixty-four percent had HbA1c levels ≥ 7%. There was no significant
difference in the total LOS in HbA1c <7% compared to HbA1c ≥7%
patients (
P
=0.367).
Conclusion
Our study results rejected the proposed hypothesis that elevated HbA1c levels
≥7% would be associated with prolonged hospital stay following CABG
surgery in a Saudi population.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.