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Updated: Jul 16, 2026

Improving IV Insulin Administration in a Community Hospital

Improving IV Insulin Administration in a Community Hospital

Published on: June 11, 2012

Off-pump CABG in diabetic patients: does insulin dependency matter?

Feza Nurozler¹, Tolga Kutlu, Güngör Küçük

¹Division of Cardiovascular Surgery, Central Hospital, Izmir, Turkey. fnurozler@yahoo.com

Scandinavian Cardiovascular Journal : SCJ

|March 17, 2007

Summary

Insulin-dependent diabetes patients experienced more postoperative complications, including stroke and wound infections, after off-pump CABG surgery. They also had longer intensive care unit stays compared to non-insulin-dependent diabetic patients.

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Last Updated: Jul 16, 2026

Improving IV Insulin Administration in a Community Hospital

Improving IV Insulin Administration in a Community Hospital

Published on: June 11, 2012

Area of Science:

Cardiovascular Surgery
Diabetology
Intensive Care Medicine

Background:

Diabetes mellitus is a significant comorbidity in patients undergoing coronary artery bypass grafting (CABG).
Insulin dependency in diabetic patients may influence surgical outcomes.
Off-pump coronary artery bypass grafting (OPCAB) is a surgical technique with specific patient considerations.

Purpose of the Study:

To analyze the influence of insulin dependency on short-term outcomes after OPCAB in patients with diabetes.
To compare postoperative complication rates and hospital stay between insulin-dependent and non-insulin-dependent diabetic patients undergoing OPCAB.

Main Methods:

Retrospective cohort study involving 148 diabetic patients undergoing OPCAB.
Patients were divided into two groups: insulin-dependent (Group I) and non-insulin-dependent (Group II).
Analysis of preoperative data, in-hospital mortality, major and minor postoperative complications, and duration of intensive care unit (ICU) and hospital stay.

Main Results:

No significant difference in in-hospital mortality between groups.
Insulin-dependent diabetics had a higher incidence of stroke (p=0.027), sternal wound infection (p=0.036), and atrial arrhythmia (p=0.021).
Group I patients showed a trend towards higher renal dysfunction (p=0.069) and significantly longer ICU stays (p=0.038).

Conclusions:

Insulin dependency is associated with an increased risk of major postoperative complications after OPCAB.
Diabetic patients requiring insulin have longer ICU durations following OPCAB.
These findings suggest careful perioperative management is crucial for insulin-dependent diabetics undergoing OPCAB.