Relationship between Perioperative Cardiovascular Events and Glycated Hemoglobin in Diabetic Patients Undergoing Noncardiac Surgery
Joint Authors
Chen, Zhengwen
Ding, Shuncai
Yuan, Yingchuan
Du, Jianhua
Zhang, Ling
Source
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-12-18
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
This retrospective nested case-control study is aimed at investigating the relationship between HbAlc and perioperative cardiovascular events (PCE) in patients with diabetes who underwent complex or moderately complex noncardiac surgery at the Second Affiliated Hospital of Xinjiang Medical University in 2013-2018.
The patients were divided into four groups according to HbA1c ≤7%, 7.1%-7.9%, 8.0%-8.9%, and ≥9%.
The occurrence of PCE among the groups was compared using univariable and multivariable analyses.
Finally, 318 patients were included.
There were 90 cases of PCE among the 318 patients; the occurrence rate of PCE was 28.3%.
No death occurred.
The occurrence rates of PCE in the HbA1c≥8.0%−8.9% and HbA1c≥9.0% groups were 30.8% and 35.4%, respectively (P<0.001 vs.
the HbA1c 7.1%-7.9% group).
The occurrence rate of PCE in the HbA1c≤7% group was 25.9% (P>0.05 vs.
the HbA1c 7.1%-7.9% group).
The multivariable logistic regression analysis showed that the course of diabetes (HbA1c stratification ≤7%, 7.1%-7.9%, 8.0%-8.9%, ≥9%, OR=3.672, 95% CI: 1.552-8.687), HbA1c (OR=1.895, 95% CI: 1.227-4.830), SBP (OR=1.194, 95% CI: 1.015-2.023), and microalbuminuria (OR=1.098, 95% CI: 1.005-1.023) was independently associated with PCE in diabetic patients.
In conclusion, HbA1c levels are related to the incidence of PCE in diabetic patients undergoing complex or moderately complex noncardiac surgery.
American Psychological Association (APA)
Chen, Zhengwen& Ding, Shuncai& Yuan, Yingchuan& Du, Jianhua& Zhang, Ling. 2020. Relationship between Perioperative Cardiovascular Events and Glycated Hemoglobin in Diabetic Patients Undergoing Noncardiac Surgery. BioMed Research International،Vol. 2020, no. 2020, pp.1-7.
https://search.emarefa.net/detail/BIM-1133370
Modern Language Association (MLA)
Chen, Zhengwen…[et al.]. Relationship between Perioperative Cardiovascular Events and Glycated Hemoglobin in Diabetic Patients Undergoing Noncardiac Surgery. BioMed Research International No. 2020 (2020), pp.1-7.
https://search.emarefa.net/detail/BIM-1133370
American Medical Association (AMA)
Chen, Zhengwen& Ding, Shuncai& Yuan, Yingchuan& Du, Jianhua& Zhang, Ling. Relationship between Perioperative Cardiovascular Events and Glycated Hemoglobin in Diabetic Patients Undergoing Noncardiac Surgery. BioMed Research International. 2020. Vol. 2020, no. 2020, pp.1-7.
https://search.emarefa.net/detail/BIM-1133370
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1133370