title: Diabetes is not associated with an increased peri-operative mortality or non-infectious morbidity following lower extremity arterial reconstruction.
abstract: BACKGROUND
  The aim of this study was to determine if, at a national level, diabetes mellitus is associated with worse perioperative outcomes after open lower extremity arterial reconstruction.
  
  
  METHODS
  Using Current Procedural Terminology codes, the National Surgical Quality Improvement Program database was queried to identify diabetic and nondiabetic patients who underwent open lower extremity arterial reconstruction from January 1, 2005, to December 31, 2007. These 2 groups were then compared using bivariate and multivariate analyses.
  
  
  RESULTS
  There was no difference in mortality between the 2 groups (3.3% in diabetics and 3.5% in nondiabetics, P = .618). On multivariate analysis, there was no difference in the incidence of cardiac, pulmonary, or renal complications between the 2 groups. Diabetics, though, were more likely to develop infectious complications postoperatively.
  
  
  CONCLUSIONS
  After lower extremity arterial reconstruction, diabetes is not associated with an increased risk for mortality or an increased rate of major postoperative complications. Diabetics, however, have an increased rate of certain perioperative infections.
authors.affiliation: Howard University College of Medicine and Hospital, Department of Surgery, 2041 Georgia Avenue, NW, #4B.34, Washington, DC 20060, USA. Electronic address: kakra.hughes@howard.edu.
authors.forename: Kakra
authors.initials: K
authors.lastname: Hughes
authors.affiliation: Department of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
authors.forename: Leybelis
authors.initials: L
authors.lastname: Padilla
authors.affiliation: Howard University College of Medicine and Hospital, Department of Surgery, 2041 Georgia Avenue, NW, #4B.34, Washington, DC 20060, USA.
authors.forename: Batul
authors.initials: B
authors.lastname: Al-Zubeidy
authors.affiliation: Department of Medicine, University of Tennessee Health Science Center, Memphis, TN, USA.
authors.forename: Oluwaseyi
authors.initials: O
authors.lastname: Bolorunduro
authors.affiliation: Howard University College of Medicine and Hospital, Department of Surgery, 2041 Georgia Avenue, NW, #4B.34, Washington, DC 20060, USA.
authors.forename: David
authors.initials: D
authors.lastname: Rose
authors.affiliation: Howard University College of Medicine and Hospital, Department of Surgery, 2041 Georgia Avenue, NW, #4B.34, Washington, DC 20060, USA.
authors.forename: Edward
authors.initials: E
authors.lastname: Cornwell
authors.affiliation: Division of Member Services, American College of Surgeons, Chicago, IL, USA.
authors.forename: Patricia
authors.initials: P
authors.lastname: Turner
authors.affiliation: Howard University College of Medicine and Hospital, Department of Surgery, 2041 Georgia Avenue, NW, #4B.34, Washington, DC 20060, USA.
authors.forename: Wendy
authors.initials: W
authors.lastname: Greene
mesh_terms: D000368:Aged; D001157:Arterial Occlusive Diseases / Q000601:surgery*; D003920:Diabetes Mellitus; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D035002:Lower Extremity / Q000098:blood supply*; D008297:Male; D009017:Morbidity / Q000639:trends; D011183:Postoperative Complications / Q000453:epidemiology*; D011379:Prognosis; D012189:Retrospective Studies; D018570:Risk Assessment / Q000379:methods*; D012307:Risk Factors; D015996:Survival Rate / Q000639:trends; D014481:United States / Q000453:epidemiology; D014656:Vascular Surgical Procedures / Q000379:methods*
keywords: Diabetes mellitus; Lower extremity arterial reconstruction