JOURNAL ARTICLE
RESEARCH SUPPORT, NON-U.S. GOV'T
Add like
Add dislike
Add to saved papers

Assessment of perioperative risk in the patient with diabetes mellitus.

To define the preoperative clinical characteristics that identify patients with diabetes mellitus at increased risk for postoperative complications, and inception cohort of diabetic patients undergoing surgical treatment was examined. Serious cardiac morbidity and death were predicted by the presence of pre-existing cardiac disease, specifically, congestive heart failure and valvular heart disease. Patients at increased risk for non-cardiac complications (infection, renal insufficiency and cerebral ischemic events) included 24 per cent of those patients with diabetic end-organ disease (retinopathy, neuropathy and nephropathy), 29 per cent of those with congestive heart failure or valvular heart disease and 35 per cent of those with peripheral vascular disease and infection. In patients who did not have such pre-existing conditions, serious noncardiac complications were rare (4 per cent). Neither the severity of the disease nor the degree of perioperative glucose control were associated with increased postoperative morbidity or mortality. We conclude that, among patients with diabetes mellitus who are undergoing surgical procedures, postoperative complications can be predicted by the presence of readily identifiable preoperative clinical characteristics.

Full text links

We have located links that may give you full text access.
Can't access the paper?
Try logging in through your university/institutional subscription. For a smoother one-click institutional access experience, please use our mobile app.

For the best experience, use the Read mobile app

Mobile app image

Get seemless 1-tap access through your institution/university

For the best experience, use the Read mobile app

All material on this website is protected by copyright, Copyright © 1994-2024 by WebMD LLC.
This website also contains material copyrighted by 3rd parties.

By using this service, you agree to our terms of use and privacy policy.

Your Privacy Choices Toggle icon

You can now claim free CME credits for this literature searchClaim now

Get seemless 1-tap access through your institution/university

For the best experience, use the Read mobile app