IMPACT OF PREOPERATIVE GLYCATED HAEMOGLOBINON POST OPERATIVE INFECTION INCIDENCE

Glycatedhaemoglobin (HBA1C percent) has been used for around three decades to regulate blood glucose regulation in diabetic patients.Small increases in perioperative blood glucose concentration are associated with significant increases in rates of hospital mortality and morbidity. Methodology: The aim of this study is to assess the effect of preoperative glycatedhaemoglobin on postoperative infection incidence following cardiac surgery. This monitored prospective retrospective case-contro study was performed in two centers on 50 diabetic patients undergoing elective baseline cardiac surgery over a 6-month span with the following inclusion and exclusion criteria. Results: there was statistically significant difference between both groups regarding type of operation and AXC time (p<0.05). The majority of both groups undergo CABG operation. Statistically significant difference between both groups regarding post-operative EF (p<0.05) was noted. There was no statistically significant difference between both groups regarding ICU stay, hospital stay and reoperation(p>0.05). Conclusion: For better results post cardiac surgery in diabetic patient monitoring glucose variability and perioperative strict glycemic control is mandatory. More studies should continue including patients with higher risk including emergency and redo surgery.