Coronary artery bypass grafting in diabetics: A growing health care cost crisis.

ABSTRACT:

Objectives

To determine 4-decade temporal trends in the prevalence of diabetes and cardiovascular risk factors among patients undergoing coronary artery bypass grafting (CABG) and to compare in-hospital outcomes, resource utilization, and long-term survival after CABG in diabetics versus nondiabetics.

Methods

From January 1972 to January 2011, 10,362 pharmacologically treated diabetics and 45,139 nondiabetics underwent first-time CABG. Median follow-up was 12 years. Direct technical cost data were available from 2003 onward (n = 4679). Propensity matching by diabetes status was used for outcome comparisons. Endpoints were in-hospital adverse events, resource utilization, and long-term survival.

Results

Diabetics undergoing CABG increased from 7% in the 1970s to 37% in

SUBMITTER: Raza S 

PROVIDER: S-EPMC5120545 | biostudies-literature | 2015 Aug

REPOSITORIES: biostudies-literature