Results of coronary artery bypass surgery in diabetic patients

ISRCTN ISRCTN11781836
DOI https://doi.org/10.1186/ISRCTN11781836
Secondary identifying numbers MOR76
Submission date
02/07/2019
Registration date
05/07/2019
Last edited
04/07/2019
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Circulatory System
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
Coronary artery disease is the term that describes what happens when the heart's blood supply is blocked or interrupted by a build-up of fatty substances in the coronary arteries. Coronary artery bypass grafting (CABG) is also known as bypass surgery, a heart bypass, or coronary artery bypass surgery. Type 2 diabetes is a common condition that causes the level of sugar (glucose) in the blood to become too high.
Aims:
- Define the factors that can predict hospital mortality after coronary bypass surgery in patients with type 2 diabetes.
- Evaluate adverse heart and brain events that occur after surgery.
- Evaluate the risk of readmissions to hospital and the need for surgical or percutaneous myocardial revascularization.
- Calculate medium and long term mortality and identify its predictive factors.

Who can participate?
Patients at Mohammed V teaching military hospital, who have type 2 diabetes mellitus and have undergone a coronary bypass graft to treat coronary artery disease.

What does the study involve?
It concerns only the study of records and collection of data already stored in our local database with no impact on the patient's health and discrimination.

What are the possible benefits and risks of participating?
The study is performed after discharge of patients and does not concern a change of treatment or intervention or anesthesia. Patients participating in the study are not exposed to any risk of side or adverse effects.

Where is the study run from?
Cardiac surgery department - Mohammed V teaching military hospital, Rabat, Morocco.

When is the study starting and how long is it expected to run for?
January 2000 to January 2019.

Who is funding the study?
Université Mohammed V de Rabat, Morocco.

Who is the main contact?
Prof. Younes Moutakiallah
dryouns@hotmail.com

Contact information

Prof Younes Moutakiallah
Scientific

Service de chirurgie cardiaque - Hôpital militaire d'instruction Mohammed V
Faculté de Médecine et de Pharmacie de Rabat - Université Mohammed V
Rabat
10045
Morocco

ORCiD logoORCID ID 0000-0001-5600-1246
Phone +212 537714708
Email dryouns@hotmail.com

Study information

Study designSingle-center retrospective observational study
Primary study designObservational
Secondary study designCohort study
Study setting(s)Hospital
Study typeScreening
Participant information sheet No participant information sheet available
Scientific titleComparison of outcome of coronary artery bypass grafting in diabetic and non-diabetic patients: experience of an African center
Study objectives1. Is diabetes an element of poor prognosis in coronary surgery?
2. Can coronary surgery in diabetics be safely and effectively performed in low-volume centers in developing countries?
3. What are the predictors of in-hospital morbidity and mortality in diabetic coronary surgery in low-volume centers in developing countries?
Ethics approval(s)Approval pending from Comité d'éthique de Recherche Biomédicale (CERB) Faculté de Médecine et de Pharmacie de Rabat Université Mohammed V de Rabat (Rabat, Morocco, 10045; [+212] 0537773560; guedirak@yahoo.fr), ref:
Health condition(s) or problem(s) studiedCoronary artery bypass in diabetes type 2 patients
InterventionThis is a retrospective study, all patients were already operated on and discharged from the hospital. Data will be collected from the local database and processed without any therapeutic change or intervention.
Data from diabetic patients who underwent coronary artery bypass grafting surgery since 2000 are included. Treatment was according to the usual protocol of the cardiac surgery department and they were followed by our outpatient clinic system.
Intervention typeProcedure/Surgery
Primary outcome measureGathered from patient records from time of operation to end of study:
1. Incidence of postoperative major cardiovascular and cerebral events (MACCE).
2. Incidence of re-hospitalizations, re-interventions and the need for revascularization.
3. The mortality in the medium and long term.
Secondary outcome measuresnone
Overall study start date01/01/2000
Completion date01/06/2019

Eligibility

Participant type(s)Patient
Age groupAdult
SexBoth
Target number of participants550
Key inclusion criteria1. Coronary artery disease
2. Diabetes mellitus type 2
3. Coronary artery bypass graft
Key exclusion criteria1. Diabetes mellitus type 1
Date of first enrolment15/01/2019
Date of final enrolment10/05/2019

Locations

Countries of recruitment

  • Morocco

Study participating centre

Cardiac surgery department - Mohammed V teaching military hospital
Hay Riyad
Rabat
10045
Morocco

Sponsor information

Faculty of medicine and pharmacy of Rabat - Mohammed V university
University/education

Hay Souissi
Rabat
10045
Morocco

Phone +212 537 77 37 01
Email WebMaster@fmp.um5.ac.ma
Website http://fmp.um5.ac.ma/
ROR logo "ROR" https://ror.org/00r8w8f84

Funders

Funder type

University/education

Université Mohammed V de Rabat
Private sector organisation / Universities (academic only)
Alternative name(s)
Mohammed V University, University Mohammed V in Rabat, Mohammed V University in Rabat, Université Mohammed V à Rabat, Mohammed V University of Rabat, UM5
Location
France

Results and Publications

Intention to publish date01/08/2019
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryData sharing statement to be made available at a later date
Publication and dissemination planThe study will be submitted for publication in a Biomed Central journal as soon as possible.
IPD sharing planThe current data sharing plans for this study are unknown and will be available at a later date

Editorial Notes

03/07/2019: Trial’s existence confirmed by Prof. Mahdi Ait Houssa, Service de chirurgie cardiaque - Hôpital militaire d'instruction Mohammed V.