Why the study?
Although diabetes is rapidly increasing in Asia, no research had evaluated its impact on cardiac surgery outcomes in a Southeast Asian cohort.
Does diabetes increase the risk of adverse outcomes in adult patients undergoing elective cardiac surgery?
Population
2831 adult patients undergoing elective cardiac surgery in Singapore
Comparison
Patients with diabetes vs without diabetes
Design
Retrospective cohort study
Key result
Diabetes in patients undergoing elective cardiac surgery was associated with increased odds of intensive care unit readmission (OR 1.70; 95% CI 1.171-2.480; p=0.005) and other complications.
Authors
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Diabetes may worsen elective cardiac surgery outcomes in Southeast Asians; leaves open whether ethnicity-specific risk stratification improves prediction.
Cohort (n=2,831)
Does diabetes increase the risk of adverse outcomes in adult patients undergoing elective cardiac surgery?
Odds Ratio: 1.7 (95% CI 1.171–2.48)
p-value: p=0.005
In a Southeast Asian cohort, diabetes is a significant predictor of adverse outcomes following elective cardiac surgery, including increased risks of AKI, infection, and ICU readmission.
Moorthy et al. (2019) conducted a cohort in Elective cardiac surgery (n=2,831). Diabetes vs. No diabetes was evaluated on Intensive care unit readmission (OR 1.70, 95% CI 1.171-2.480, p=0.005). Diabetes in patients undergoing elective cardiac surgery was associated with increased odds of intensive care unit readmission (OR 1.70; 95% CI 1.171-2.480; p=0.005) and other complications.