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Continuous insulin infusion is associated with a reduced post-surgical length of stay, but not with the complication rate, in patients with diabetes mellitus undergoing coronary artery bypass graft

Abelev, Z. ; Seth, A. ; Patel, R. ; Goldstein, S. ; Bogun, M. ; Paliou, M. ; Schlosser, J. ; Homel, P. ; Busta, A. ; Seto-Young, D. ; Tranbaugh, R. ; Poretsky, L.

Journal of endocrinological investigation, 2011-11, Vol.34 (10), p.770-774 [Periódico revisado por pares]

Cham: Springer International Publishing

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Título:
Continuous insulin infusion is associated with a reduced post-surgical length of stay, but not with the complication rate, in patients with diabetes mellitus undergoing coronary artery bypass graft
Autor: Abelev, Z. ; Seth, A. ; Patel, R. ; Goldstein, S. ; Bogun, M. ; Paliou, M. ; Schlosser, J. ; Homel, P. ; Busta, A. ; Seto-Young, D. ; Tranbaugh, R. ; Poretsky, L.
Assuntos: Aged ; Blood Glucose - metabolism ; Cohort Studies ; Coronary Artery Bypass - adverse effects ; Diabetes Mellitus - drug therapy ; Endocrinology ; Female ; Glycated Hemoglobin A - metabolism ; Humans ; Insulin - administration & dosage ; Insulin Infusion Systems ; Length of Stay ; Male ; Medicine ; Medicine & Public Health ; Metabolic Diseases ; Middle Aged ; Original Article ; Postoperative Complications - etiology ; Postoperative Complications - prevention & control ; Postoperative Period ; Retrospective Studies
É parte de: Journal of endocrinological investigation, 2011-11, Vol.34 (10), p.770-774
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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Descrição: Objective: To establish if glucose management with continuous intravenous insulin infusion (CII) in the early post-operative period after coronary artery bypass graft (CABG) surgery is associated with complication rate and length of hospital stay (LOS) in patients with diabetes mellitus (DM). Research design and methods: We reviewed the records of 587 patients with DM who underwent CABG from January 1999 until January 2008; 316 patients were placed on CII, while 271 patients were treated with subcutaneous insulin. We examined patient age, glycated hemoglobin (HgbA1c), 24- and 72-h post-operative average capillary blood glucose (CBG), length of stay (LOS), and the rate of complications. Results: There was no difference in HgbA1c between the groups. Mean CBG values at both 24 h and 72 h remained the same in the CII group (167 mg/dl), while in the non-CII group they were 194 mg/dl and 189 mg/dl, respectively ( p <0.001 between the groups). Post-surgical median LOS was 6 days in the CII group and 6.5 days in the non-CII group ( p =0.003). Complications occurred at similar rate (in 10% and 11% of patients) in the two groups. Conclusions: CII is associated with a reduced post-surgical LOS in patients with DM who undergo CABG.
Editor: Cham: Springer International Publishing
Idioma: Inglês

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Continuous insulin infusion is associated with a reduced post-surgical length of stay, but not with the complication rate, in patients with diabetes mellitus undergoing coronary artery bypass graft

Abelev, Z. ; Seth, A. ; Patel, R. ; Goldstein, S. ; Bogun, M. ; Paliou, M. ; Schlosser, J. ; Homel, P. ; Busta, A. ; Seto-Young, D. ; Tranbaugh, R. ; Poretsky, L.

Cham: Springer International Publishing

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