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25 May 2026 : Clinical Research  

Perioperative Glycemic Control and Outcomes in Cardiac Surgery: A Retrospective Cohort Study

Ana Luiza Antony Gomes de Matos da Costa e Silva ORCID logo ABCDEF 1*, Letícia Maia Zica ORCID logo ABCDEFG 2, Dilson Palhares Ferreira ORCID logo CDEF 1,3, Adda Cecília Batista de Carvalho Vieira ORCID logo CDEF 1, Mauro de Deus Passos ORCID logo CDEF 1, Adegil Henrique Miguel de Melo Silva ORCID logo ABEF 4, Leila Bernarda Donato Gottems ORCID logo DEF 5, Marcio Garrison Dytz ORCID logo ABDF 6, Fábio Ferreira Amorim ORCID logo BCDEF 7

DOI: 10.12659/MSM.952210

Med Sci Monit 2026; 32:e952210

Table 1 Baseline characteristics of the study participants.

VariableValue
Age, years,
 Mean (SD)59.7 (13.0)
 Median (IQR 25–75%)61.0 (51.0–69.0)
Female, n (%)61 (38.9)
Surgery type, n (%)
 MR79 (50.3)
 Heart valve45 (28.7)
 HTx28 (17.8)
 Other5 (3.2)
Corticosteroid use, n (%)56 (35.7)
Comorbidities, n (%)
 DM65 (41.4)
 SAH97 (61.8)
 Dyslipidemia84 (53.5)
BMI, Kg/m#
 Mean (SD)26.7 (5.0)
 Median (IQR 25–75%)26.9 (22.7–30.4)
BMI category, n (%)#
 Underweight7 (4.6)
 Healthy49 (32.2)
 Overweight56 (36.8)
 Obesity I36 (23.7)
 Obesity II2 (1.3)
 Obesity III2 (1.3)
Postoperative infection, n (%)94 (59.9)
Compliance with BGT 70–180 mg/dL, n (%)* 123 (78.3)
At least one episode of hypoglycemia <70 mg/dL, n (%)50 (31.8)
At least one episode of hyperglycemia >180 mg/dL, n (%)130 (82.8)
Hospital LOS, days, mean (SD)23.0 (19.1)
Hospital LOS, median (IQR 25–75%)16.0 (9.0–33.0)
Hospital mortality, n (%)14 (8.9)
BGT – blood glucose target; BMI – body mass index; DM – diabetes mellitus; HTx – heart transplantation; IQR – interquartile range; LOS – length of stay; MR – myocardial revascularization; SAH – systemic arterial hypertension; SD – standard deviation.
* Defined as maintaining glucose values within this range in ≥70% of measurements.
# BMI was missing in 5 cases.

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750