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Impact of early postoperative blood glucose variability on serum endocan level in cardiac surgery patients: a sub study of the ENDOLUNG observational study
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Impact of early postoperative blood glucose variability on serum endocan level in cardiac surgery patients: a sub study of the ENDOLUNG observational study
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Impact of early postoperative blood glucose variability on serum endocan level in cardiac surgery patients: a sub study of the ENDOLUNG observational study
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Journal Article
Impact of early postoperative blood glucose variability on serum endocan level in cardiac surgery patients: a sub study of the ENDOLUNG observational study
2023
Overview
Background
Early postoperative glycemic variability is associated with worse outcome after cardiac surgery, but the underlying mechanisms remain unknown. This study aimed to describe the relationship between postoperative glycemic variability and endothelial function, as assessed by serum endocan level in cardiac surgery patients.
Methods
We performed a
post hoc
analysis of patients included in the single-center observational ENDOLUNG study. Adult patients who underwent planned isolated coronary artery bypass graft surgery were eligible. Postoperative glycemic variability was assessed by calculating the coefficient of variability (CV) of blood glucose measured within 24 (CV
24
) and 48 (CV
48
) hours after surgery. Serum endocan level was measured at 24 (Endocan
24
) and 48 (Endocan
48
) hours after surgery. Pearson’s correlation coefficient with 95% confidence interval (95% CI) was calculated between CV
24
and Endocan
24
, and between CV
48
and Endocan
48
.
Results
Data from 177 patients were analyzed. Median CV
24
and CV
48
were 18% (range 7 to 39%) and 20% (range 7 to 35%) respectively. Neither CV
48
nor CV
24
were significantly correlated to Endocan
48
and Endocan
24
respectively (r (95% CI) = 0.150 (0.001 to 0.290; and r (95% CI) = 0.080 (-0.070 to 0.220), respectively).
Conclusions
Early postoperative glycemic variability within 48 h after planned cardiac surgery does not appear to be correlated with postoperative serum endocan level.
Clinical trial registration number
NCT02542423.
