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Revista Colombiana de Cardiología
versão impressa ISSN 0120-5633
Resumo
PEREZ, Luz E. et al. Factors associated with complications in diabetic patients with multivessel coronary disease surgically operated in a highly complex cardiovascular center. Rev. Colomb. Cardiol. [online]. 2021, vol.28, n.2, pp.153-159. Epub 10-Jun-2021. ISSN 0120-5633. https://doi.org/10.24875/rccar.m21000042.
Objective:
To determine the sociodemographic, clinical and procedural characteristics associated with complications in diabetic patients with severe coronary disease treated by coronary artery bypass surgery.
Methods:
A retrospective cohort study in patients over 18 years old with a diagnosis of diabetes mellitus and multivessel coronary disease, undergoing surgical revascularization, where individual, clinical and procedural characteristics associated with surgical complications were evaluated. A bivariate and multivariate analysis was performed using binary logistic regression.
Results:
The factors associated with complications that were found were: age, body mass index, left ventricular ejection fraction, pre intervention New York Heart Association (NYHA) functional class, alcohol and tobacco history. Of these, age was the only variable that persists with statistical significance after the logistic regression model.
Conclusion:
The incidence of postoperative complications in diabetic patients undergoing surgical revascularization is comparable to that observed in previous studies. The associated factor found for this group of patients is the age.
Palavras-chave : Diabetes mellitus; Coronary artery disease; Myocardial revascularization; Risk factor; Postoperative complications.