Poorer outcomes after non-cardiac surgery in DM

Poorer outcomes after non-cardiac surgery in DM
For patients undergoing non-cardiac surgery, diabetes is associated with adverse perioperative complications and mortality, according to a study published online Aug. 29 in Diabetes Care.

(HealthDay)—For patients undergoing non-cardiac surgery, diabetes is associated with adverse perioperative complications and mortality, according to a study published online Aug. 29 in Diabetes Care.

Chun-Chieh Yeh, M.D., from the China Medical University in Taiwan, and colleagues used reimbursement claims from the Taiwan National Health Insurance system to compare perioperative complications and mortality for patients with and without diabetes undergoing non-cardiac surgery.

The researchers found that the odds of 30-day postoperative mortality were significantly increased for patients with diabetes (odds ratio [OR], 1.84), particularly for those with type 1 or uncontrolled diabetes, as well as for patients with preoperative diabetes-linked comorbidities, including eye involvement, peripheral circulatory disorders, ketoacidosis, renal manifestations, and coma. For patients with diabetes, coexisting medical conditions, including renal dialysis (OR, 5.17), (OR, 3.59), stroke (OR, 2.87), mental disorders (OR, 2.35), ischemic heart disease (OR, 2.08), chronic obstructive pulmonary disease (OR, 1.96), and hyperlipidemia (OR, 1.94), correlated with mortality, compared to controls without diabetes. The risk of postoperative and were significantly increased for patients with diabetes (OR, 3.65 and 2.30, respectively). In addition, there were significant correlations for diabetes with prolonged hospital stay and increased medical expenses (OR, 2.30 and 1.32, respectively).

"Diabetes increases postoperative 30-day mortality, complications, and medical expenditures in patients undergoing in-hospital non-cardiac surgeries," the authors write.

More information: Abstract
Full Text (subscription or payment may be required)

add to favorites email to friend print save as pdf

Related Stories

Risk of comorbidities up with hypoglycemia in T2DM

Apr 08, 2013

(HealthDay)—For patients with type 2 diabetes, hypoglycemia, regardless of its severity, correlates with a significantly increased risk of cardiovascular events, all-cause hospitalization, and mortality, ...

Recommended for you

Economic burden of prediabetes up 74 percent over five years

Nov 20, 2014

The economic burden of diabetes in America continues to climb, exceeding more than $322 billion in excess medical costs and lost productivity in 2012, or more than $1,000 for every American, according to a study being published ...

Gynoid fat resists metabolic risks of obesity

Nov 19, 2014

(HealthDay)—The differences in the developmental profiles of upper-body and lower-body fat depots may explain their opposing associations with obesity-related metabolic disease, according to research published ...

Treating diabetes one meal at a time

Nov 19, 2014

Recent estimates project that as many as one in three American adults will have diabetes in 2050. The American Diabetes Association observes November as American Diabetes Month, and this year's theme is America ...

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.