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Effect of Preoperative Level of Hemoglobin A1C on Early Outcome After Coronary Artery Bypass Graft Surgery.
Faculty
Medicine
Year:
2023
Type of Publication:
ZU Hosted
Pages:
Authors:
Ashraf Hamed Ibrahim Abdelsalam
Staff Zu Site
Abstract In Staff Site
Journal:
Zagazig University Medical Journal Zagazig University
Volume:
Keywords :
Effect , Preoperative Level , Hemoglobin , , Early Outcome
Abstract:
Objective: Diabetics represent an increasing proportion of patients undergoing coronary artery bypass graft (CABG). Glycosylated hemoglobin (HbA1C) is a key indicator for glycemic control. The degree of glycemic control is directly reflected in the outcome after CABG. Our study aims to analyze the early outcome concerning preoperative HbA1C levels. Methods: This prospective study evaluated the early outcome of 623 isolated elective CABG patients over 19 months. The patients were divided into group A (347 patients) with HbA1C < 7% and group B (276 patients) with HbA1C ≥ 7%. Postoperative renal failure, myocardial infarction, atrial fibrillation (AF), wound infection, cerebrovascular accidents, and 30-day mortality were recorded. Results: Baseline characteristics showed a non-significant difference between both groups. The mean age of patients in group A was 59.6 years, and in group B it was 59.5 years. The mean graft number was 3.35 and 3.32 for groups A and B, respectively. First-month death was 0.9% in group A and 1.4% in group B without a significant difference. The incidence of AF, superficial wound infection, and other site infections showed a statistically substantial difference between both groups. Conclusion: Increased levels of HbA1c, more than 7%, may be a potential risk factor for postoperative complications with a substantial rise in the risk of wound infections (superficial sternal and non-sternal surgical) and AF.
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Ashraf Hamed Ibrahim Abdelsalam, "Early and Late Management of Non-penetrating Traumatic Thoracic Tracheobronchial Injuries", Al Azhar University, 2013
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Ashraf Hamed Ibrahim Abdelsalam, "A - 13 Years of Single-Center Experience in the Management and Outcome of Esophageal Perforation.", Zagazig University, 2022
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Ashraf Hamed Ibrahim Abdelsalam, "Aortic Prosthesis - Patient Mismatch as a Risk Factor on Regression of Left Ventricular Mass.", Zagazig University, 2022
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Ashraf Hamed Ibrahim Abdelsalam, "Evolving Fibrinolytic Option in the Management of Second Stage of Empyema.", Zagazig University, 2022
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Ashraf Hamed Ibrahim Abdelsalam, "The Impact of Diabetes on Early and Midterm Outcome of Patients Undergoing Coronary Artery Bypass Grafting Surgery in Egyptians", Marsland Press, 2015
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Department Related Publications
Mohamed Abdulla Mohamed Atef Abdalla Alattar, "The oxidative damage and inflammatory response induced by lead sulfide nanoparticles in rat lung.", Elservier, 2013
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Mohamed Abdulla Mohamed Atef Abdalla Alattar, "miRNA expression profiles associated with diagnosis and prognosis in lung cancer.", Informa UK ltd., 2014
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Mohamed Abdulla Mohamed Atef Abdalla Alattar, "Neuropilin-1 expression in squamous cell carcinoma of the oesophagus.", Oxford university press, 2014
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Mohamed Abdulla Mohamed Atef Abdalla Alattar, "Targeting the prohibitin scaffold-CRAF kinase interaction in RAS-ERK-driven pancreatic ductal adenocarcinoma.", Biomed central, 2014
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