Diabetes Complicates Surgical Recovery

MedicalResearch.com Interview with: Ta-Liang Chen, MD, PhD
Graduate Institute of Clinical Medical Science,
China Medical University, Taichung, Taiwan

MedicalResearch.com: What are the main findings of the study?

Reply: Diabetes increases postoperative 30-day mortality, complications, and medical expenditures in patients undergoing in-hospital noncardiac surgeries.

MedicalResearch.com: Were any of the findings unexpected?

Reply: Diabetes-related eye involvement, peripheral circulatory disorder, ketoacidosis, renal manifestations, and coma complicated postoperative mortality.

MedicalResearch.com: What should clinicians and patients take away from your report?

Reply: Perioperative assessment, high quality of care and family support are needed for this specific population. Medical resources should be appropriately allocated to patients with diabetes and coexisting medical conditions when they undergo noncardiac surgeries.

MedicalResearch.com: What recommendations do you have for future research as a result of this study?

Reply: Future researches need to investigate the impact of preoperative medication, and fasting glucose level on the adverse events after non-cardiac surgeries.

Citation:

Adverse Outcomes After Noncardiac Surgery in Patients With Diabetes: A nationwide population-based retrospective cohort study Diabetes Care published ahead of print August 29, 2013, doi:10.2337/dc13-0770

Chun-Chieh Yeh, Chien-Chang Liao, Yi-Cheng Chang, Long-Bin Jeng, Horng-Ren Yang, Chun-Chuan Shih, and Ta-Liang Chen

 

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