Continuous insulin infusion is associated with a reduced post-surgical length of stay, but not with the complication rate, in patients with diabetes mellitus undergoing coronary artery bypass graft

摘要: Objective: To establish if glucose management with continuous intravenous insulin infusion (CII) in the early post-operative period after coronary artery bypass graft (CABG) surgery is associated complication rate and length of hospital stay (LOS) patients diabetes mellitus (DM). Research design methods: We reviewed records 587 DM who underwent CABG from January 1999 until 2008; 316 were placed on CII, while 271 treated subcutaneous insulin. examined patient age, glycated hemoglobin (HgbA1c), 24- 72-h average capillary blood (CBG), (LOS), complications. Results: There was no difference HgbA1c between groups. Mean CBG values at both 24 h 72 remained same CII group (167 mg/dl), non-CII they 194 mg/dl 189 mg/dl, respectively (p<0.001 groups). Post-surgical median LOS 6 days 6.5 (p=0.003). Complications occurred similar (in 10% 11% patients) two Conclusions: a reduced post-surgical undergo CABG.