Os riscos perioperatórios de pacientes com Diabetes Mellitus submetidos à cirurgia cardíaca: uma revisão integrativa
DOI:
https://doi.org/10.34119/bjhrv6n3-327Keywords:
Diabetes Mellitus, período intraoperatório, período perioperatório, complicações pós-operatórias, cirurgia torácicaAbstract
Apesar dos avanços dos tratamentos das doenças cardíacas, a cirurgia cardíaca (CC) ainda se faz indispensável no tratamento de certas patologias. Nesse caso, o diabetes mellitus (DM) pode estar associado a graves complicações perioperatórias. O objetivo foi identificar e avaliar os riscos e eventos no período perioperatório de pacientes com DM submetidos à CC. A busca foi feita nos bancos de dados do PubMed, Cochrane Library e Biblioteca Virtual em Saúde. Foram incluídos estudos originais de natureza qualitativa ou quantitativa disponíveis na Internet que foram publicados entre 2015 e 2021. Foram excluídos estudos duplicados, dissertações, teses, livros e aqueles que não se adequaram à pergunta de pesquisa. Como parte dos resultados, cerca de 58% dos estudos selecionados avaliaram o pré-operatório, 8%, o intraoperatório e 83%, o pós-operatório. As comorbidades pré-operatórias mais comuns foram hipertensão arterial sistêmica e doença renal. Acerca dos eventos pós-operatórios, observaram-se prolongamento da hospitalização, infecções, menor sobrevida, hiperglicemia e lesão renal aguda. Os achados deste estudo corroboram a hipótese da associação do DM como risco independente para complicações em CC.
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