Influence of preoperative HbA1c levels on the occurrence of postoperative complications in patients undergoing coronary artery bypass grafting

Abstract

Abstract Objective To explore the impact of preoperative HbA1c levels on postoperative complications in coronary heart disease patients undergoing coronary artery bypass grafting (CABG). Methods From September 2020 to November 2022, 98 patients with coronary heart disease who were preparing to receive CABG treatment in a cardiac surgery department of a certain hospital were included in the study using the retrospective analysis. According to the preoperative serum hemoglobin A1C (HbA1c) test results, patients were divided into a low-level group (HbA1c 7%, 19 cases). The surgical outcomes and postoperative complications among the three groups were compared. Results There was no statistically significant difference in the number of bypass grafts, mechanical ventilation time, and hospitalization time among the three groups of patients (P > 0.05). The high-level group stayed in the ICU longer than the other two groups, while the middle level group had a longer stay than the low-level group (P 0.05). Among them, the incidence of acute kidney injury in the high-level group was higher than that in the other groups (P 0.05. The incidence of infection in the middle level group was higher than that in the low level group (P 0.05 compared to the medium level group. Conclusion For patients with coronary heart disease undergoing CABG, the higher the preoperative HbA1c level, the longer their postoperative stay in the ICU, and the higher the risk of acute renal function damage.

Keywords

• Coronary artery bypass grafting
• HbA1c
• Postoperative complications
• Coronary artery disease
• Acute renal function injury