Use of Pre?Operative Hemoglobin A1c to Predict Early Post?Operative Renal Failure and Infection Risks in Patients who are not Diabetics and Undergoing Elective off Pump Coronary Artery Bypass Graft Surgery

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dc.contributor.authorM, Madhuen_US
dc.contributor.authorPatni, Ankitaen_US
dc.date.accessioned2023-07-14T08:01:17Z
dc.date.available2023-07-14T08:01:17Z
dc.date.issued2023-06
dc.description.abstractBackground: Recent studies have indicated that patients, both with and without diabetes with an increased HbA1c, have a higher rate of adverse outcomes following cardiac surgeries. Our study is focused on to evaluate the prognostic impact of admission value of HbA1c in non?diabetic patients for postoperative renal failure and infections. Materials and Methods: Plasma HbA1c levels were collected from 200 consecutive nondiabetic patients who got admitted for elective off pump coronary artery bypass graft (CABG) procedure over a 2?year period under two groups, Group A whose HbA1c was < 6% at admission and Group B whose HbA1c was ?6% and ?6.4% at admission. After surgery, patients were followed up to see if they have got infection or renal failure as postoperative complication. Student抯 unpaired t test was used to test the significance of difference between the quantitative variables, Yate抯 and Fisher抯 chi square tests were used for qualitative variables. Results: We found early postoperative renal failure in 14 (3/96 in Group A and 11/104 in Group B) out of 200 patients (7%) and infection in 21 (8/96 in Group A and 13/104 in Group B) out of 200 patients (10.5%). After data analysis, it was noted that there is a positive correlation between HbA1c and postoperative renal failure (P = 0.0213) whereas no association was found between HbA1c and postoperative infections (P = 0.175) in patients undergoing off?pump CABG surgery. Conclusion: In patients without diabetes, a plasma HbA1c ?6% was a significant independent predictor for early postoperative renal failure.en_US
dc.identifier.affiliationsDepartment of Pediatric Cardiac Anaesthesia and Critical Care, Sri Sathya Sai Sanjeevani Centre for Child Heart Care, Sector 37, Kharghar, Navi Mumbai, Maharashtraen_US
dc.identifier.affiliationsCritical Care Registrar, Apollo Hospital, Bannerghatta Road, Bengaluru, Karnataka, Indiaen_US
dc.identifier.citationM Madhu, Patni Ankita. Use of Pre?Operative Hemoglobin A1c to Predict Early Post?Operative Renal Failure and Infection Risks in Patients who are not Diabetics and Undergoing Elective off Pump Coronary Artery Bypass Graft Surgery. International Journal of Medical Research & Health Sciences. 2023 Jun; 26(2): 160-165en_US
dc.identifier.issn0974-5181
dc.identifier.issn0971-9784
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/219289
dc.languageenen_US
dc.publisherWolters Kluwer - Medknowen_US
dc.relation.issuenumber2en_US
dc.relation.volume26en_US
dc.source.urihttps://doi.org/10.4103/aca.aca_46_22en_US
dc.subjectNon diabeticen_US
dc.subjectOffpump CABGen_US
dc.subjectpre?operative HbA1Cen_US
dc.subjectpostoperative infectionen_US
dc.subjectpostoperative renal failureen_US
dc.titleUse of Pre?Operative Hemoglobin A1c to Predict Early Post?Operative Renal Failure and Infection Risks in Patients who are not Diabetics and Undergoing Elective off Pump Coronary Artery Bypass Graft Surgeryen_US
dc.typeJournal Articleen_US
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