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Cardiac Complications and Mortality Rates in Diabetic Patients following Non-cardiac Surgery in an Australian Teaching Hospital
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Cardiac Complications and Mortality Rates in Diabetic Patients following Non-cardiac Surgery in an Australian Teaching Hospital
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Journal Article
Cardiac Complications and Mortality Rates in Diabetic Patients following Non-cardiac Surgery in an Australian Teaching Hospital
2009
Overview
This retrospective study of diabetic patients undergoing non-cardiac surgery has identified that a greater number of patients are at risk of cardiac complications and death in the perioperative period than had previously been suggested. As well as insulin-dependent diabetic patients and patients with elevated creatinine (>178 μmol/l) as previously found, our study suggests that non-insulin-dependent diabetic patients and patients with creatinine >120 μmol/l are also at increased risk of cardiac complications and death following non-cardiac surgery. This increases by a factor of six those diabetic patients at risk of perioperative complications from non-cardiac surgery and also increases the number of patients with renal failure similarly at risk. The study confirms similar risks of cardiac complications and death to other recently published data and suggests ongoing comparisons will contribute to quality assurance activities in anaesthesia and surgery.
Publisher
Anaesthesia Society of Anaesthetists,Sage Publications Ltd. (UK),Sage Publications Ltd
Subject
/ Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
/ Animals
/ Biological and medical sciences
/ Complications and side effects
/ Diabetes Mellitus - mortality
/ Heart
/ Heart Diseases - epidemiology
/ Humans
/ Postoperative Complications - epidemiology
/ Postoperative Complications - mortality
/ Surgery
