Risk Factors For Contrast Induced Nephrotoxicity Challenged
Contrary to current belief, a new study finds that patients with a history of diabetes are not one of the most at risk for contrast induced nephrotoxicity. Instead, the study found that patients with a history of renal disease, hypertension and/or heart disease are more likely to suffer from renal insufficiency, putting them at greater risk for contrast induced nephrotoxicity. The study, done at Northwestern Memorial Hospital-Northwestern University in Chicago, included 2, 404 patients. All patients underwent an estimated glomerular filtration rate (eGFR) test immediately before undergoing a CT examination.
The Relevance Of Benchmarks Questioned In Coronary Artery Bypass Graft Patients Receiving Insulin Infusions
Cardiothoracic surgeons and endocrinologists from Boston Medical Center (BMC) have found that among patients undergoing coronary artery bypass graft (CABG) surgery, achieving Surgical Care Improvement Project (SCIP) benchmarks for glycemic control may be irrelevant when perioperative continuous insulin infusion protocols are implemented. These findings were presented at the Annual meeting of the American Association for Thoracic Surgery on May 1 in San Francisco, CA. Currently, 40 percent of all patients undergoing CABG suffer from diabetes, and this number is quickly rising.
Weight Loss Surgery Better Than Drugs For Very Obese Diabetes Patients
Obesity is a major health problem all over the world, and it is well known that obesity is linked to diabetes. According to the American Diabetes Association, the annual cost of caring for patients with diabetes will approach $192 billion in 2020. A study published in Archives of Surgery, demonstrates that morbidly obese patients with type 2 diabetes mellitus, who underwent bariatric surgery, were linked to remission or improvement in diabetes-related outcomes, compared with those who received conventional therapy.