Effect of Preoperative Level of Hemoglobin A1C on Early Outcome After Coronary Artery Bypass Graft Surgery
Abdelsalam, A., Deebis, A., Mansour, A., Mesallam, A., Goda, T., Shafeek Shokry Sakla, N., Alawady, T. (2024). Effect of Preoperative Level of Hemoglobin A1C on Early Outcome After Coronary Artery Bypass Graft Surgery. EKB Journal Management System, 30(1.3), 155-161. doi: 10.21608/zumj.2022.157231.2624
Ashraf Hamed Abdelsalam; Ahmed Mohammed Deebis; Amr Hassan Mansour; Alawab Mohammed Mesallam; Tamer Mohamed Goda; Niveen Shafeek Shokry Sakla; Tamer Salem Alawady. "Effect of Preoperative Level of Hemoglobin A1C on Early Outcome After Coronary Artery Bypass Graft Surgery". EKB Journal Management System, 30, 1.3, 2024, 155-161. doi: 10.21608/zumj.2022.157231.2624
Abdelsalam, A., Deebis, A., Mansour, A., Mesallam, A., Goda, T., Shafeek Shokry Sakla, N., Alawady, T. (2024). 'Effect of Preoperative Level of Hemoglobin A1C on Early Outcome After Coronary Artery Bypass Graft Surgery', EKB Journal Management System, 30(1.3), pp. 155-161. doi: 10.21608/zumj.2022.157231.2624
Abdelsalam, A., Deebis, A., Mansour, A., Mesallam, A., Goda, T., Shafeek Shokry Sakla, N., Alawady, T. Effect of Preoperative Level of Hemoglobin A1C on Early Outcome After Coronary Artery Bypass Graft Surgery. EKB Journal Management System, 2024; 30(1.3): 155-161. doi: 10.21608/zumj.2022.157231.2624

Effect of Preoperative Level of Hemoglobin A1C on Early Outcome After Coronary Artery Bypass Graft Surgery

Zagazig University Medical Journal
Article 19, Volume 30, Issue 1.3, March and April 2024, Page 155-161  XML PDF (960.49 K)
Document Type: Original Article
DOI: 10.21608/zumj.2022.157231.2624
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Authors
Ashraf Hamed Abdelsalam1; Ahmed Mohammed Deebisorcid 2; Amr Hassan Mansour3; Alawab Mohammed Mesallam4; Tamer Mohamed Goda5; Niveen Shafeek Shokry Sakla6; Tamer Salem Alawady email 7
1Cardiothoracic surgery department, Faculty of Medicine, Zagazig University
2Cardiothoracic Surgery Department, Faculty of Medicine, Zagazig University, Egypt
3Department of Cardiothoracic surgery, Zagazig University, Egypt
4Cardiothoracic Surgery Department, Alahrar Educational Hospital, Zagazig, Egypt
5Intenal nedicine department,, zagazig university
6Nephrology Unit-Zagazig University
7cardiothoracic surgery department, faculty medicine, zagazig university, zagazig, egypt
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.
Keywords
Keywords: Glycosylated hemoglobin; HbA1C; CABG; Sternal wound infection
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