Endocrine Abstracts

Background: Diabetes Mellitus (DM) is a disease that increasing in prevalence rapidly in our country and in the world with the increase of sedentary life and unhealthy nutrition. The risks of surgery applied in diabetic patients differ according to other patients.

Aim: We aimed to investigate the relationship between the preoperative HbA1c levels and the complications and mortality rates in the postoperative period in patients with diabetes diagnosis and was applied major surgical treatment.

Method: We included patients who underwent major surgery between January 1, 2015 and December 31, 2016 in our hospital and who had been diagnosed with type 2 diabetes and had been looked at HbA1c levels preoperatively. A total of 1013 patients whose file data were completely accessed, were included in the study. Preoperative HbA1c levels of the patients and complications seen within the first 7 and first 30 days postoperatively were recorded.

Results: Forty nine (4.8%) of the patients were exitus in the hospital while 964 (95.2%) of patients were discharged. Preoperative HbA1c levels of the patients were found to be predictive marker of mortality in the first 7 and 30 days postoperatively (P<0.05). Preoperative HbA1c value was found to be very significant in predicting the complication, wound infection, total infection risk within the first 7 and 30 days postoperatively (P<0.001).

Discussion: It is very important to base HbA1c levels on preoperative surgical risk assessment in diabetic patients. Better provision of long-term glycemic control in patients planned elective surgery and have high HbA1c levels may significantly reduce postoperative mortality and complications.