Predictive value of body mass index for perioperative hyperglycemia occurrence in cardio-surgical patients without diabetes mellitus

• Published in: Anesteziologiia i reanimatologiia no. 1; p. 11
• Main Authors: Kuznetsova, L A, Iavorovskiĭ, A G, Petunina, N A, Morozov, A Iu, Eremenko, A A, Ziuliaeva, T P
• Format: Journal Article
• Language: Russian
• Published: Russia (Federation) 01.01.2014
• Subjects: Blood Glucose - analysis; Body Mass Index; Case-Control Studies; Humans; Hyperglycemia - diagnosis; Hyperglycemia - epidemiology; Hyperglycemia - etiology; Myocardial Revascularization; Perioperative Period; Postoperative Complications - diagnosis; Postoperative Complications - epidemiology; Postoperative Complications - etiology; Predictive Value of Tests; Retrospective Studies
• ISSN: 0201-7563

Purpose of the study was to assess a predictive value of body mass index for perioperative hyperglycemia occurrence in cardio-surgical patients without a diabetes mellitus. Retrospective analysis of glycemic profile, frequency and level of perioperative hyperglycemia was performed 120 patients without a diabetes mellitus, undergoing elective cardiac surgeries with cardiopulmonary bypass were included in the study. All patients were divided into three groups. Group-1 included patients with normal body weight (body mass index (BMI) < 25), Group-2--patients with increased body weight (BMI 25-29.9), Group-3--patients with obesity (BMI > 30). Elective cardiac surgeries with artificial circulation accompanied with episodes of hyperglycemia. Hyperglycemia occurrence did not have relation with initial glycemic profile of the patients. Glycemia level increased during surgery and the highest levels of both glycemia increasing of hyperglycemia frequency were fixed during cardiopulmonary bypass and postperfusion period. Increased body weight and obesity are predisposing causes of perioperative hyperglycemia.