Repository of Research and Investigative Information

Repository of Research and Investigative Information

Ilam University of Medical Sciences

Clinical outcomes of off-pump coronary artery bypass graft in patients with diabetes and non-diabetics: A systematic review and meta-analysis

Fri Apr 19 11:46:54 2024

(2022) Clinical outcomes of off-pump coronary artery bypass graft in patients with diabetes and non-diabetics: A systematic review and meta-analysis. Diabetes & Metabolic Syndrome-Clinical Research & Reviews. p. 13. ISSN 1871-4021

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Abstract

Background and aim: Diabetes mellitus is a prevalent risk factor for developing coronary artery disease which worsens the clinical outcomes of patients undergoing coronary artery bypass grafting (CABG). This study aimed to determine the clinical outcomes of patients with diabetes and non-diabetic patients who underwent off-pump CABG surgery.Method: Medline, Scopus, Proquest, Embase, Web of Science, and Google scholar were searched until September 10, 2021. The effect sizes including unstandardized mean difference and odds ratio with 95 confidence interval were calculated using "Metan" package. The Cochran's Q-test and I2 statistic were used to assess heterogeneity, a random-effects model was applied to estimate the pooled effect sizes, and meta-regression was used to investigate the factors affecting heterogeneity between studies.Results: 10 studies with 6200 sample sizes were included in the study. In groups with diabetes, Summary odds ratio (SOR) and 95 confidence interval of infection was 2.18 more than non-diabetic groups. Also, odds renal complication was 1.74 more than non-diabetic groups, and the odds cardiovascular compli-cation in groups with diabetes was 1.30 more than non-diabetics. There were no differences in mortality, neurologic, respiratory and surgical complications between groups with diabetes and non-diabetics. Based on meta-regression results, age (Coefficient: 0.942; p 1/4 0.009) had a significant direct relation-ship and sample size (Coefficient: 0.001; p 1/4 0.009) had an indirect significant relationship with het-erogeneity of neurologic outcomes. There was no significant publication bias in our results.Conclusion: Our study revealed that off-pump CABG led to some significant outcomes in patients with diabetes compared to non-diabetics. Renal and infection complications were higher in patients with diabetes but no significant differences were seen in most of other postoperative outcomes between the two groups.(c) 2022 Published by Elsevier Ltd on behalf of Diabetes India.

Item Type: Article
Creators:
CreatorsEmail
Aeen, F. B.UNSPECIFIED
Pakzad, R.UNSPECIFIED
Tayebi, Z.UNSPECIFIED
Kashkooli, R. I.UNSPECIFIED
Abdi, F.UNSPECIFIED
Keywords: Diabetes Off -pump CABG Clinical outcome on-pump atrial-fibrillation surgery mellitus impact revascularization survival glucose Endocrinology & Metabolism
Divisions:
Page Range: p. 13
Journal or Publication Title: Diabetes & Metabolic Syndrome-Clinical Research & Reviews
Journal Index: ISI
Volume: 16
Number: 11
Identification Number: https://doi.org/10.1016/j.dsx.2022.102643
ISSN: 1871-4021
Depositing User: مهندس مهدی شریفی
URI: http://eprints.medilam.ac.ir/id/eprint/4212

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