Journal article
The presence of diabetes and higher HbA1c are independently associated with adverse outcomes after surgery
PH Yong, L Weinberg, N Torkamani, L Churilov, RJ Robbins, R Ma, R Bellomo, QT Lam, JD Burns, GK Hart, JF Lew, J Martensson, D Story, AN Motley, D Johnson, JD Zajac, EI Ekinci
Diabetes Care | AMER DIABETES ASSOC | Published : 2018
DOI: 10.2337/dc17-2304
Abstract
Limited studies have examined the association between diabetes and HbA1c with postoperative outcomes. We investigated the association of diabetes, defined categorically, and the association of HbA1c as a continuous measure, with postoperative outcomes. RESEARCH DESIGN AND METHODS In this prospective,observational study,wemeasuredtheHbA1c of surgical inpatients age ≥54 years at a tertiary hospital between May 2013 and January 2016. Patients were diagnosedwith diabetes if they had preexisting diabetes or an HbA1c ≥6.5%(48 mmol/mol) or with prediabetes if they had an HbA1c between 5.7 and 6.4%(39 and 48 mmol/mol). Patients with an HbA1c <5.7% (39 mmol/mol) were categorized as having normoglycem..
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Funding Acknowledgements
E.I.E. was supported by a National Stroke Foundation Small Project grant, Sylvia and Charles Viertel Charitable Foundation Viertel Clinical Investigatorship, Sir Edward Weary Dunlop Medical Research Foundation grant, Royal Australasian College of Physicians fellowship, and Diabetes Australia Research Program grant.