1. The Significance of Systemic Immune-Inflammatory Index for Mortality Prediction in Diabetic Patients Treated with Off-Pump Coronary Artery Bypass Surgery.
- Author
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Urbanowicz, Tomasz, Michalak, Michał, Al-Imam, Ahmed, Olasińska-Wiśniewska, Anna, Rodzki, Michał, Witkowska, Anna, Haneya, Assad, Buczkowski, Piotr, Perek, Bartłomiej, and Jemielity, Marek
- Subjects
CARDIOPULMONARY bypass ,CORONARY artery surgery ,CORONARY artery bypass ,MUCOCUTANEOUS lymph node syndrome ,PEOPLE with diabetes ,PERIPHERAL vascular diseases ,METABOLIC disorders - Abstract
Diabetes mellitus (DM) represents a complex carbohydrate metabolism disorder characterized by inflammatory over-reactivity. The study aimed to investigate the potential influence of postoperative inflammatory activation on mortality risk after off-pump coronary artery bypass grafting in diabetic patients. There were 510 patients treated with off-pump coronary artery bypass grafting due to stable complex coronary artery disease, including 175 patients with type-2 DM (T2DM.) The mean follow-up time was 3.7 +/− 1.5 years with a 9% all-cause mortality rate in the diabetic group. In multivariable analysis, preoperative comorbidities (stroke, peripheral artery disease, postoperative systemic inflammatory index >952, and postoperative left ventricle ejection fraction (LVEF) < 45%) were revealed as prognostic factors. The receiver operator characteristics curve analysis for postoperative calculations of systemic immune-inflammatory index (SII) appeared significant (AUC = 0.698, p = 0.008), yielding sensitivity of 68.75% and specificity of 71.07%. Systemic immune-inflammatory index (SII) can be regarded as a predictive marker for long-term prognosis in diabetic patients after off-pump coronary artery bypass grafting. The role of perioperative inflammatory activation may play a crucial role in mortality prediction. [ABSTRACT FROM AUTHOR]
- Published
- 2022
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