Key result
T2DM is not associated with mid-term mortality after open heart surgery in patients over 70.
Why the study?
The effect of diabetes on mid-term survival rates in patients over 70 years undergoing open heart surgery was unclear.
Does diabetes mellitus affect mid-term survival in patients over 70 years of age undergoing open heart surgery?
Cohort (n=93)
No
Does diabetes mellitus affect mid-term survival in patients over 70 years of age undergoing open heart surgery?
Diabetes mellitus does not appear to significantly impact mid-term survival rates in patients over 70 years of age undergoing open heart surgery.
Diabetes may not affect mid-term mortality after open heart surgery in patients >70; leaves open need for prospective validation.
Aim: To determine the effect of diabetes on mid-term survival rates of the patients over 70 years of age who underwent an open heart surgery. Material and Method: Patients who underwent an open heart surgery between November 2016 and May 2019 in our center included in this retrospective study. The patients younger than 70 years were excluded. Patients were divided into two groups: Group 1 included diabetic patients, Group 2 included non-diabetic patients. The patients who were followed-up for less than 24 months were excluded. Results: A total 389 patients were evaluated and 93 (23.9%) patients aged over 70 years were included in this retrospective study. Group 1 included 36 (38.7%) type 2 diabetic patients and Group 2 included 57 (61.3%) non-diabetic patients. The general mean follow-up time was 48.25±10.42 months (range between 30.83-77.07 months). The number of emergency operations was significantly higher in non-diabetic patients group (p= 0.005). The mortality rates were similar in both groups (30.55% in Group1, 35.08% Group 2, p= 0.652). The survival times of the groups were also similar (63.49±3.42 months in diabetic patients, 59.40±2.67 months in non-diabetic patients group, p= 0.254). Conclusion: Diabetes mellitus has no effect on the mid-term survival rates of the older patients who underwent open heart surgery.
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İnce et al. (2022) conducted a cohort in Open heart surgery (n=93). Type 2 diabetes mellitus vs. Non-diabetic patients was evaluated on Mid-term mortality rate (p=0.652). Type 2 diabetes mellitus had no significant effect on mid-term mortality rates in patients over 70 years of age undergoing open heart surgery (30.55% vs 35.08%, p=0.652).
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