title: The Effects of Diabetes Mellitus in Patients Undergoing Off-Pump Coronary Artery Bypass Grafting.
abstract: Objective. To investigate the effects of diabetes mellitus (DM) in patients undergoing off-pump coronary artery bypass grafting (OPCAB).Method. A total of 728 patients with DM and 1380 patients without DM who underwent OPCAB treatment from March 2012 to April 2015 were reviewed. The effects of DM on intraoperative variables and postoperative complications were determined using propensity score analysis.Results. Two well-matched subgroups were selected using propensity score analysis (DM = 728, no-DM = 728) to compare the perioperative outcome. The duration of the ICU stay, in hours (55.2 ± 53.0 versus 49.29 ± 51.30,P< 0.05), postoperative new-onset atrial fibrillation (20.9% versus 14.97%,P< 0.05), and postoperative infection (9.2% versus 4.67%,P< 0.05) were greater in DM patients, as indicated by univariate analysis.Conclusion. OPCAB was found to be effective in DM patients, but postoperative infection and postoperative new-onset atrial fibrillation were found to be more likely to occur in DM patients than in other patients. DM was found to be a powerful risk factor for postoperative infection and postoperative new-onset atrial fibrillation.
authors: Department of Cardiovascular Surgery, General Hospital of Shenyang Military, Shenyang, China.
authors: Yu
authors: 0000-0003-4897-5299
authors: Y
authors: Liu
authors: Department of Cardiovascular Surgery, General Hospital of Shenyang Military, Shenyang, China.
authors: Jinsong
authors: J
authors: Han
authors: Department of Cardiovascular Surgery, General Hospital of Shenyang Military, Shenyang, China.
authors: Tao
authors: T
authors: Liu
authors: Department of Cardiovascular Surgery, General Hospital of Shenyang Military, Shenyang, China.
authors: Zhonglu
authors: Z
authors: Yang
authors: Department of Cardiovascular Surgery, General Hospital of Shenyang Military, Shenyang, China.
authors: Hui
authors: H
authors: Jiang
authors: Department of Cardiovascular Surgery, General Hospital of Shenyang Military, Shenyang, China.
authors: Huishan
authors: 0000-0001-6523-7488
authors: H
authors: Wang
mesh_terms: D001786:Blood Glucose / Q000378:metabolism; D047549:Coronary Artery Bypass, Off-Pump / Q000009:adverse effects*; D003710:Demography; D003920:Diabetes Mellitus / Q000097:blood / Q000473:pathology*; D005260:Female; D006801:Humans; D007430:Intraoperative Care; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology
chemical_list: D001786:Blood Glucose