Relación entre los niveles de HbA1C y el tiempo de estancia hospitalaria en los pacientes diabéticos sometidos a procedimientos quirúrgicos no cardíacos electivos en el Hospital Teodoro Maldonado Carbo en el periodo enero 2016 - diciembre 2016.

Abstract

OBJECTIVE: To determine the association between levels of Glycated Haemoglobin (HbA1C) and the length of hospital stay in patients with type 2 diabetes who underwent non-cardiac elective surgery at ¨Dr. Teodoro Maldonado Carbo¨ Hospital. RESEARCH AND DESIGN METHODS: A retrospective control study was carried out, in which the General Surgery Service of the Teodoro Maldonado Carbo Hospital participated. We include patients with a previously established diagnosis of Type 2 Diabetes Mellitus, admitted to the Surgery service to undergo noncardiac surgery between January 2016 and December 2016. RESULTS: A 7% HbA1C allowed the division of type 2 diabetic patients into two groups (<7% controlled,> 7% uncontrolled). In relation to the days of in -hospital stay, there was no statistical significance with a p value = 0.205 between bo th groups. CONCLUSSIONS: Our study determines that there is no statistical significance in the relationship between HbA1C levels and length of hospital stay. Likewise, at the time of admission, the patients did not present an optimal metabolic control. The HbA1C allowed the adequate management of the surgical patients, a good decision making on the part of the doctors and an early recovery of the patients. Incorporating renal function tests would be very useful when assessing diabetics with nephropathies, who often pass as patients with good control, and who in the long run would have poor post-surgical evolution.