Impact of Insulin-Dependent Diabetes and Critical Preoperative State on Early Mortality in Indian Patients Undergoing Valvular Heart Surgery: A Prospective Observational Study
Insulin-dependent diabetes, Critical preoperative state, Valvular heart surgery, Early mortality, India
Abstract
Background: Preoperative risk factors such as diabetes mellitus and critical preoperative state are known contributors to postoperative mortality in cardiac surgery, but their specific impact on Indian patients undergoing valvular heart surgery has not been thoroughly studied.
Objective: To assess the role of insulin-dependent diabetes and critical preoperative state in predicting early (within 1 month) mortality in Indian patients undergoing valvular heart surgery.
Methods: A prospective observational study was conducted at Sher-i-Kashmir Institute of Medical Sciences, Srinagar, between 2018 and 2021. Fifty-six patients undergoing elective or urgent valvular heart surgery were included. Preoperative variables, including insulin-dependent diabetes and critical preoperative state (defined by the need for inotropes, intra-aortic balloon pump, or mechanical ventilation preoperatively), were recorded. Mortality outcomes were analyzed in relation to these variables.
Results: Fourteen patients (25%) were insulin-dependent diabetics. Twenty-seven patients (48.2%) presented in a critical preoperative state. Early mortality occurred in 5 patients (8.9%). Three of these were both diabetic and in critical preoperative state, one was diabetic only, and one was non-diabetic but in critical preoperative state.
Conclusion: Both insulin-dependent diabetes and critical preoperative state are significantly associated with early mortality in Indian patients undergoing valvular heart surgery. These factors should be considered in perioperative management and risk prediction models for improved outcomes.
"Impact of Insulin-Dependent Diabetes and Critical Preoperative State on Early Mortality in Indian Patients Undergoing Valvular Heart Surgery: A Prospective Observational Study", IJSDR - International Journal of Scientific Development and Research (www.IJSDR.org), ISSN:2455-2631, Vol.10, Issue 9, page no.a362-a363, September-2025, Available :https://ijsdr.org/papers/IJSDR2509045.pdf
Volume 10
Issue 9,
September-2025
Pages : a362-a363
Paper Reg. ID: IJSDR_304875
Published Paper Id: IJSDR2509045
Downloads: 000148
Research Area: Humanities All
Country: Jammu,, Jammu and kashmir, India
ISSN: 2455-2631 | IMPACT FACTOR: 9.15 Calculated By Google Scholar | ESTD YEAR: 2016
An International Scholarly Open Access Journal, Peer-Reviewed, Refereed Journal Impact Factor 9.15 Calculate by Google Scholar and Semantic Scholar | AI-Powered Research Tool, Multidisciplinary, Monthly, Multilanguage Journal Indexing in All Major Database & Metadata, Citation Generator
Publisher: IJSDR(IJ Publication) Janvi Wave
