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Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Wertheim cung cấp cho các bạn kiến thức về ngành y đề tài: Prevalence of Dysglycemia Among Coronary Artery Bypass Surgery Patients with No Previous Diabetic History. | McGinn et al. Journal of Cardiothoracic Surgery 2011 6 104 http www.cardiothoracicsurgery.Org content 6 1 104 JCTS JOURNAL OF CARDIOTHORACIC SURGERY RESEARCH ARTICLE Open Access Prevalence of Dysglycemia Among Coronary Artery Bypass Surgery Patients with No Previous Diabetic History I I L I IV I r-f Z. I Ik 1 2 IV I I f Z-J A GA 11 1cc 11 k I Z1 IV I D 1 th3 D r Z ZZ A p.3 A ỉ I I I zz I IV I r I I z Ĩ1 E I r I I s F Vr r r p I 1 4 Joseph I McGinn Jr Masood A ShariTT lariq M Bhat Basem Azab William J Molloy Elaena Quattrocchi Mina Farid1 Ann M Eichorn5 Yosef D Dlugacz5 and Robert A Silverman5 6 7 Abstract Background Dysglycemia is a major risk factor for atherosclerosis. In many patient populations Qysglycemia is unQer-QiagnoseQ. Patients with severe coronary artery disease commonly have Qysglycemia and there is growing evidence that Qysglycemia irrespective of unQerlying history of Qiabetes is associateQ with aQverse outcome in coronary artery bypass graft CABG surgery patients including longer hospital stay wound infections and higher mortality. As HbA1c is an easy and reliable way of checking for Qysglycemia we routinely screen all patients undergoing CABG for elevations in HbA1c. Our hypothesis was that a substantial number of patients with Qysglycemia that coulQ be iQentifieQ at the time of carQiothoracic surgery Qespite having no apparent history of Qiabetes. Methods 1045 consecutive patients undergoing CABG between 2007 and 2009 had HbA1c measured pre-operatively. The 2010 American Diabetes Association ADA diagnostic guidelines were used to categorize patients with no known history of diabetes as having diabetes HbA1c 6.5 or increased risk for diabetes HbA1c 5.76.4 . Results Of the 1045 patients with pre-operative HbA1c measurements 40 n 415 had a known history of diabetes and 60 n 630 had no known history of diabetes. For the 630 patients with no known diabetic history 207 32.9 had a normal HbA1c 5.7 356 56.5 had an HbA1c falling in the increased risk for .
