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AN-1401-011
PREDICTIVE VALUE OF BODY MASS INDEX FOR PERIOPERATIVE HYPERGLYCEMIA OCCURRENCE
IN CARDIO-SURGICAL PATIENTS WITHOUT DIABETES MELLITUS
Kuznetsova L.A.
1
, Yavorovsky A.G.
2
, Petunina N.A.
1
, Morozov A. Yu., Eremenko A.A., Zyulyaeva T.P.
1Sechenov First Moscow State Medical University, Moscow, Russia; 2Petrovsky National Research Center
of Surgery of the Russian Academy of Medical Science, Moscow, Russia
correspondence to: Kuznetsova Liudmila Aleksandrovna
e-mail:
milakiznetsova1706@gmail.com
Abstract:
Purpose of the study was to assess a predictive value of body mass index for perioperative
hyperglycemia occurrence in cardio-surgical patients without a diabetes mellitus. Materials and Methods:
Retrospective analysis of glycemic profile, frequency and level of perioperative hyperglycemia was
performed. 120 patients without a diabetes mellitus, undergoing elective cardiac surgeries with
cardiopulmonary bypass were included in the study. All patients were divided into three groups. Group-1
included patients with normal body weight (body mass index (BMI) < 25), Group-2 – patients with increased
body weight (BMI 25-29.9), Group-3 – patients with obesity (BMI > 30). Results; Elective cardiac surgeries
with artificial circulation accompanied with episodes of hyperglycemia. Hyperglycemia occurrence did not
have relation with initial glycemic profile of the patients. Glycemia level increased during surgery and the
highest levels of both glycemia increasing of hyperglycemia frequency were fixed during cardiopulmonary
bypass and postperfusion period. Increased body weight and obesity are predisposing causes of
perioperative hyperglycemia.
Key words:
hyperglycemia, cardiac surgery, cardiopulmonary bypass, body mass index, obesity
AN-1401-014
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