Factors associated with complications in diabetic patients with multivessel coronary disease who underwent surgery in a highly complex cardiovascular center

Factors associated with complications in diabetic patients with multivessel coronary disease who underwent surgery in a highly complex cardiovascular center

Drag. Luz Eugenia Pérez
Paola Sánchez Zapata, Clara Inés Saldarriaga, José Gregorio Thorrens, Juan P Neira, Juan C Rendón, Jose J Escobar
Colombian Journal of Cardiology
Publication date: 06/2021

Summary:

objective: determine sociodemographic characteristics, clinical and procedural complications associated with complications in diabetic patients with severe coronary artery disease, undergoing surgical revascularization.

Methods: Retrospective cohort study in patients older than 18 years with a diagnosis of diabetes mellitus and multivessel coronary disease, undergoing surgical revascularization, in which individual characteristics were evaluated, clinical and procedural complications associated with postoperative complications. A bivariate and multivariate analysis was performed using binary logistic regression..

Results: The factors associated with complications were age, body mass index, left ventricular ejection fraction, New York Heart Association functional class (NYHA, its acronym in English for New York Heart Association) pre-intervention and history of alcohol and tobacco use; of these, age is the variable that persists with statistical significance after the binary logistic regression model. conclusion: The incidence of postoperative complications in diabetic patients undergoing surgical revascularization is comparable to that observed in previous studies., and the associated factor found for this group of patients is age. The model could explain the 23 % of the development of complications in the cohort studied.

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