Only 14 pages are availabe for public view
o find out The Effect of Glycosylated Hemoglobin Control on Post-Operative Coronary Artery Bypass Graft Surgery Outcomes specially infections.
This study is conducted on patients who undergone isolated CABG surgery at the Cardiothoracic Academy Hospital from march to august; Data was collected retrospective and prospective from 60 patients to report postoperative incidence of chest or leg infection during hospital stay period with out consideration type or period of antibiotics with consideration half of patients are known to be diabetic patients with consideration of doing glycosylated hemoglobin value for all patients.
60 patients met all inclusion criteria (11.7%) of these patients had chest wound infection with mean duration (11.33 ± 5.82) days, while (10%) had leg wound infection with mean duration (15.67 ± 8.69) days.50% of patients are diabetic. *(16.67%) and (6.67%) of patients had chest wound infection, while (13.33%) and (6.67%) had leg wound infection in diabetic and non-diabetic group respectively. show HGBA1 c was significantly detected leg wound infection at cut off value 7.2 with specificity 64.81% and with sensitivity 83.3 %, HGBA1c was significantly detected chest wound infection at cut off value 7.7 with specificity 77.3% and sensitivity 71.4% and HGBA1c was significantly detected both leg and chest
Summary and Conclusion
wound infection at cut off value 8.2 with specificity 67.3% and sensitivity 72.7%
This study shows that the incidence chest and leg wound infection are significantly related to the value of the glycosylated hemoglobin and rate of infection increase with poor control of diabetes and from this study we recommend glycosylated hemoglobin value for all patient undergoing cardiac surgery.