Fasting hyperglycemia as a prognostic factor in cardiac surgery
Keywords:
Hiperglucemia de ayuno, cirugía cardiacaAbstract
Introduction: Fasting hyperglycemia is a prognostic factor in surgery. Finding the highest risk threshold in cardiovascular surgery is a necessity in current medical practice.
Objective: To estimate the ideal fasting glycemic threshold for a better prognosis in the clinical evolution of patients undergoing cardiac surgery.
Methods: A prospective descriptive study was carried out in patients undergoing cardiac surgery, at Hermanos Ameijeiras Hospital from January to June 2017. The sample consisted of 191 patients; fasting blood glucose was determined in all patients. The Chi-square (X2) test of independence was used to evaluate the association between variables. A logistic regression analysis was performed to identify the independent effect of the variables studied. In addition, a Receiver Operating Characteristic Curve was constructed in which 1-specificity and sensitivity were plotted for each cut-off point defined for the glycemic values.
Results: The 40-69 years age of the patients predominated, the male sex represented 60.7% of the sample, 55.5% had normal blood glucose levels and only 1.6% showed blood glucose levels higher than 15 mmol / L. Moreover, 33.5% had some type of complication, the patients with complications had blood glucose levels above 9.9 mmol / L in 84.4%. In the multivariate analysis, there was only statistical significance for the appearance of complications for glycaemia higher than 10 mmol / L.
Conclusions: fasting hyperglycemia was associated with higher risk of complications.
Keywords: fasting hyperglycemia; cardiac surgery, prognostic factors.
Downloads
Downloads
Published
How to Cite
Issue
Section
License
The Cuban Journal of Medicine protects the author's patrimonial rights. However, it is licensed under a Creative Commons Licensehttps://creativecommons.org/licenses/by-nc/4.0/deed.es_ES which permits unrestricted non-commercial use, distribution and reproduction in any medium, provided that the primary source of publication is duly cited. The author always retains his moral rights.
You are free to:
- Share - copy and redistribute the material in any medium or format.
- Adapt - remix, transform and build upon the material
- The license cannot revoke these freedoms as long as you follow the terms of the license.
Under the following terms:
- Attribution - You must give proper credit, provide a link to the license, and indicate if changes have been made. You may do so in any reasonable manner, but not in such a way as to suggest that you or your use is supported by the licensor.
- Non-Commercial Purpose- You may not make use of the material for commercial purposes.
- No Additional Restrictions - You may not apply legal terms or technological measures that legally restrict others from making any use permitted by the license.
