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August 15, 2007Interactive Cardiovascular and Thoracic SurgeryOpen Access

Diabetes is not a risk factor for hospital mortality following contemporary coronary artery bypass grafting

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Why the study?

Does diabetes increase the risk of hospital mortality in patients undergoing contemporary coronary artery bypass grafting?

Population

2,725 patients undergoing coronary artery bypass grafting between January 1998 and December 2005, mean age…

Comparison

Presence of diabetes mellitus vs Absence of diabetes mellitus

Design

Cohort

Follow-up

Up to 5 years

Authors

FFFarzan FilsoufiIcahn School of Medicine at Mount SinaiPRParwis B. RahmanianCardiac SurgeryJCJavier G. CastilloValve (United States)

Discussion

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Implication

Diabetes does not increase hospital mortality after CABG; leaves open whether targeted strategies can reduce associated infection and 5-year survival risks.

Structured PICO

Does diabetes increase the risk of hospital mortality in patients undergoing contemporary coronary artery bypass grafting?

P
Population
2,725 patients undergoing coronary artery bypass grafting (CABG) between January 1998 and December 2005, mean age 65+/-11 years, 69% male.
I
Intervention
Presence of diabetes mellitus
C
Comparator
Absence of diabetes mellitus
O
Outcome
Hospital mortalityhard clinical

Diabetes is not an independent predictor of hospital mortality following contemporary CABG, but it remains associated with an increased risk of deep sternal wound infection and reduced long-term survival.

Cite This Study

Filsoufi et al. (2007) studied this question.

synapsesocial.com/papers/6a727e0ff44fa9f079dff532https://doi.org/10.1510/icvts.2007.158709

Topics

Coronary artery disease
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Diabetes and cardiovascular risk factors: the Framingham study.1979 · 1,339 citations
  2. 2European system for cardiac operative risk evaluation (EuroSCORE)1999 · 3,398 citations
  3. 3Influence of Diabetes on 5-Year Mortality and Morbidity in a Randomized Trial Comparing CABG and PTCA in Patients With Multivessel Disease1997 · 630 citations
  4. 4Facing the Diabetes Epidemic — Mandatory Reporting of Glycosylated Hemoglobin Values in New York City2006 · 86 citations