Impact of diabetes mellitus on patients over 70 years of age undergoing coronary artery bypass grafting

Ji, Qiang; Mei, Yunqing; Wang, Xisheng; Feng, Jing; Cai, Jiangzhi; Sun, Yifeng; Chi, Liangjie

doi:10.1016/j.hrtlng.2009.10.003

Cited by 6 publications

(6 citation statements)

References 25 publications

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“…were married. The results of the study further supported by (8) study which evaluated the hospital outcomes of diabetic and non-diabetic patients aged over 70 years after isolated coronary artery bypass grafting (CABG) and mention that (9 %) of the diabetic patients post CABG were illiterate, (42%) with high cholesterol level and most of them (22.7%) were overweight with Mean body mass index (SD) = 26.3±3.3.…”

Section: Discussionmentioning

confidence: 57%

Impact of Diabetes Mellitus upon the Physical Activity of Patients Post Coronary Artery Bypass Graft Surgery in Baghdad City

Mansour¹,

wahhab²

2014

Kufa Jour. Nurs. Sci.

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Background: Diabetes mellitus is considered a major risk factor for developing coronary artery disease, and is associated with a marked increase in the complications post cardiac revascularization in both women and men in addition to its impact on the patients Quality of life. Objectives: the study aims to assess the impact of diabetes mellitus upon the physical activity for patients post coronary artery bypass graft surgery and to find out the relationship between the physical activity and socio-demographic and clinical data of the diabetic patients. Methods: descriptive study was conducted to identify the impact of diabetes mellitus upon the physical activity of patients who undergoing CABG surgery at least three months ago. The study starting in November 10th 2012 to the July 10th 2013 on the 100 patients in three centers and hospitals in Baghdad city (Ibn Al-bittar center for cardiac surgery, Iben Al-Naffes Hospital and Al-Iraqi Center for Cardiac Disease), the instrument was consist of two part which of clinical- demographic data (gender, age group, marital status, educational level, cholesterol, BMI) and physical activities instrument that consist of eight items that measure the basic and moderate activities of daily living, the reliability of the study was measured through test retest method=0.93, the researcher use the descriptive and inferential statistics to analyze data . Results: the result of the study shows that (57%) of the study samples have diabetic in comparison (43%) with Non-diabetic patients, (46%) of the diabetic patients were males, (28%) of the subject were at the age group 51- 60 years, (46%) were married, (13%) illiterate. (31%) have high cholesterol level and (26%) were overweight. Added to that the study shows a highly statistical difference in the physical activity between diabetic and non-diabetic patients, a highly statistical association between physical activity and clinical-demographic data (gender, age group, cholesterol level and BMI) of the diabetic patients were also found. Conclusions: the study conclude that the physical activity of the diabetic patients is less than non- diabetic patients and the clinical - demographic data (gender, age group, cholesterol level and BMI) of the diabetic patient affect with highly significant association (p≤0.01) on their physical activity post CABG surgery. Recommendations: according to the findings of the study the researchers recommend to Prepare a special programs and guide booklet that encourage patients to improve their physical activity post CABG surgery which include diet modification, adherence to treatment, regular exercise, and other life style modification.

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Section: Discussionmentioning

confidence: 57%

Impact of Diabetes Mellitus upon the Physical Activity of Patients Post Coronary Artery Bypass Graft Surgery in Baghdad City

Mansour¹,

wahhab²

2014

Kufa Jour. Nurs. Sci.

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“…López-Rodríguez et al [29], when analyzed patients older than 75 years, did not observe this association as well. Ji et al [5] reported that diabetic patients aged over 70 years had a higher rate of deep sternal wound infection, while sharing similar rates for other morbidities compared with nondiabetic patients aged over 70 years. Nagpal et al [4], when analyzed octogenarian patients undergoing CABG with or without cardiopulmonary bypass, described that diabetes was not as a risk factor for the occurrence of the combined endpoint of death and major complications.…”

Section: Discussionmentioning

confidence: 96%

“…Patients in this age group tend to have higher rates of comorbidities and risk factors, which may result in more frequent and severe complications, and higher mortality rates [4]. Few studies [5] have investigated the impact of diabetes in the group of older patients, especially octogenarians. This study aimed to compare mortality and morbidity in diabetic and nondiabetic octogenarian patients undergoing CABG.…”

Section: Introductionmentioning

confidence: 99%

Does diabetes mellitus increase immediate surgical risk in octogenarian patients submitted to coronary artery bypass graft surgery?

Júnior¹,

Pereira²,

Valle³

et al. 2012

Revista Brasileira De Cirurgia Cardiovascular

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Introduction: Diabetes is a well known risk factor for early and late adverse outcomes in patients undergoing coronary artery bypass graft surgery (CABG); however, few studies have investigated the impact of this risk factor in the group of older patients, especially octogenarians.Objectives: To compare in-hospital mortality and morbidity of diabetic and nondiabetic patients aged ≥ 80 years submitted to CABG.Methods: A total of 140 consecutive cases were studied, of whom 37 (26.4%) were diabetics, in a retrospective crosssectional study, that included all patients aged ≥ 80 years submitted to isolated/associated CABG. The patients' mean age was 82.5 ± 2.2 years and 55.7% were males.Results: The hospital mortality rate did not significantly differ in multivariate analysis: 16.2% diabetic x 13.6% nondiabetic (P = 0.554), as well as morbidity: 43.2% x 37.9%, respectively (P = 0.533). Regarding to operative morbidity, the occurrence of stroke was significantly higher in diabetic patients in the univariate analysis (10.8% x 1.9%, P = 0.042). In multivariate analysis, however, the incidence of stroke was not associated with the presence of diabetes (P = 0.085), but it was associated with atrial fibrillation (P = 0.044). There was no significant difference related to other complications.Conclusion: In this small consecutive retrospectively analyzed series, there was no significant increase in hospital mortality and morbidity related to diabetes for CABG in octogenarian patients. The impact of the results of this study is limited by the sample size and might be confirmed by future randomized clinical trials.Descriptors: Myocardial revascularization. Aged. Aged, 80 and over. Diabetes mellitus. ResumoIntrodução: O diabetes é um fator de risco conhecido para eventos adversos precoces e tardios em pacientes submetidos à cirurgia de revascularização miocárdica (CRM); entretanto, poucos estudos investigaram sua influência no grupo de pacientes mais idosos, especialmente nos octogenários.Objetivos: Comparar a mortalidade e a morbidade hospitalar de pacientes com idade ≥ 80 anos diabéticos e não-diabéticos submetidos à CRM. 601Rev Bras Cir Cardiovasc 2012;27(4):600-6 Pivatto Júnior F, et al. -Does diabetes mellitus increase immediate surgical risk in octogenarian patients submitted to coronary artery bypass graft surgery?Métodos: Foram estudados 140 casos consecutivos, sendo 37 (26,4%) diabéticos, em um estudo transversal retrospectivo incluindo todos os pacientes com idade ≥ 80 anos submetidos à CRM isolada/associada. A idade média dos pacientes foi de 82,5 ± 2,2 anos e 55,7% eram do sexo masculino.Resultados: A taxa de mortalidade hospitalar não diferiu de maneira significativa na análise multivariada entre os grupos, 16,2% diabéticos x 13,6% não-diabéticos (P=0,554), assim como a morbidade pós-operatória, 43,2 x 37,9%, respectivamente (P=0,533). Em relação à morbidade, a ocorrência de acidente vascular cerebral foi significativamente maior em pacientes diabéticos na análise univariada (10,8% x 1,9%; P = 0,042). Na a...

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“…Cardiac surgeries are also frequent to increase survival and restore the quality of life. Therefore, request for surgeries are increasing among patients with DM, which are necessaryin most cases, ( 4 , 5 ). As a highly demanded surgery, coronary artery bypass graft (CABG) can put both healthcare receivers and providers in jeopardy of complications such as infections and high glucose levels before, during, and after surgery.…”

Section: Introductionmentioning

confidence: 99%

Insulin infusion on postoperative complications of coronary artery bypass graft in patients with diabetes mellitus

Masoumi¹,

Frasatkhish²,

Bigdelian³

et al. 2014

Res Cardiovasc Med

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Background:Cardiovascular events are common in patients with diabetes mellitus (DM), which make coronary artery bypass graft (CABG) a highly demanded surgery in this population. Tight control of blood glucose in patients with DM is beneficial in reducing postoperative complications; however, the adequate range has not been determined yet.Objectives:This study aimed to investigate the effect of semi-tight (moderate) control of DM on complications and serum glucose levels during and after CABG.Patients and Methods:In this prospective clinical trial, 18 and 31 patients with and without DM, respectively, who were referred to Shahid Chamran Hospital, Isfahan, Iran, for elective CABG surgery, were enrolled. For DM group, patients with controlled DM (i.e. glycosylated hemoglobin levels [HgA1C] ≤ 7%) were recruited. Blood glucose level (blood sugar, BS) was measured after anesthesia, during pumping, warming, off pumping, six and 12 hours after Intensive Care Unit (ICU) admission, and at discharging from the hospital. The hemodynamic state of the patients, bleeding, need of blood transfusion, infection, and duration of hospitalization were also monitored and recorded.Results:None of the BS measurements (FBS, after anesthesia, on-pump, warming, off pump, six and 12 hours after ICU admission, and at discharge) were significantly different between study groups (P > 0.05). Frequency of surgery site bleeding and blood transfusion need were not significantly different between these groups (P > 0.05).Conclusions:Semi-tight control of DM with insulin infusion during operation did not led to any difference in the type and rate of CABG complications between patients with well-controlled and those without DM; however, BS levels in patients with well-controlled DM could be more easily controlled.

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Impact of diabetes mellitus on patients over 70 years of age undergoing coronary artery bypass grafting

Cited by 6 publications

References 25 publications

Impact of Diabetes Mellitus upon the Physical Activity of Patients Post Coronary Artery Bypass Graft Surgery in Baghdad City

Impact of Diabetes Mellitus upon the Physical Activity of Patients Post Coronary Artery Bypass Graft Surgery in Baghdad City

Does diabetes mellitus increase immediate surgical risk in octogenarian patients submitted to coronary artery bypass graft surgery?

Insulin infusion on postoperative complications of coronary artery bypass graft in patients with diabetes mellitus

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