Linked Life Data

3710064

Source:http://linkedlifedata.com/resource/pubmed/id/3710064

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
1
pubmed:dateCreated
1986-7-7
pubmed:abstractText
We reviewed all first operations for cholelithiasis at the North Carolina Memorial Hospital from 1973 to 1982 to assess factors associated with postoperative morbidity in diabetics after biliary tract surgery. Diabetics (n = 126) had more frequent postoperative complications (24.6% vs. 12.5%, p less than 0.001) and higher mortality (7.9% vs. 3.0%, p = 0.02) than the nondiabetics (n = 855). Postoperative complications were more frequent in diabetics at both emergency surgery (57.9% vs. 39.1%) and at nonemergency surgery (18.7% vs. 10.2%). Diabetics were older, however, and had more preoperative renal, cardiovascular, and neurologic disease. We used logistic regression analysis to adjust for these differences and to determine independent predictors of postoperative complications. Urgent surgery, operation other than cholecystectomy, cardiovascular disease, and male sex were associated with an increased risk of postoperative morbidity. Diabetes was associated with an increase in risk that was not statistically significant. We conclude that diabetics have increased morbidity primarily because they are older and have other medical problems. The risk conferred by uncomplicated diabetes is modest, and recommendations for prophylactic surgery in asymptomatic diabetics with gallstones should be reexamined in this light.
pubmed:grant
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:status
MEDLINE
pubmed:month
Jul
pubmed:issn
0016-5085
pubmed:author
pubmed:issnType
Print
pubmed:volume
91
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
157-62
pubmed:dateRevised
2007-11-14
pubmed:meshHeading
pubmed:year
1986
pubmed:articleTitle
Factors associated with postoperative complications in diabetics after biliary tract surgery.
pubmed:publicationType
Journal Article, Comparative Study, Research Support, U.S. Gov't, P.H.S.