| Impact of type 2 diabetes on surgical outcomes in patients with arterial disease |
| Paper ID : 1245-IGA |
| Authors |
|
Rrahman Ferizi * Rrahman Ferizi, University of Prishtina, Faculty of Medicine, Prishtina, Kosovo |
| Abstract |
| Background and Aim: The course and outcome of arterial disease are strongly influenced by type 2 diabetes mellitus (T2DM), particularly in individuals undergoing vascular surgery. The aim of this study is to improve the understanding of the relationship between type 2 diabetes and the consequences of arterial disease in patients treated at the Department of Vascular Surgery, University Clinical Center of Kosovo. The aim is to improve clinical management and reduce complications in this population. Materials and Method: This retrospective analysis included patients with type 2 diabetes who underwent vascular surgery between November 2022 and April 2023. Patient data collected from medical records included variables such as age, gender, smoking status, comorbidities, laboratory results, specific procedures, postoperative outcomes, previous surgical interventions, and length of hospital stay. Statistical analysis included descriptive statistics, a one-sample t-test, bivariate correlation, and a nonparametric chi-square test. Ethical approval was obtained, and all participants provided informed consent. Results: The majority of patients with arterial disease and diabetes were between 68 and 81 years of age (48.15%, p < 0.05) and predominantly male (72.69%, p < 0.05). The prevalence of insulin therapy was high (89.3%, p < 0.05). The most common surgical intervention was ischemic gangrene leading to amputation of a toe (15.93%, p=0.05), while arterial thrombosis caused the most problems before surgery (23.33%, p=0.05). Most patients (30.74%, p = 0.05) spent 7-11 days in the hospital. 71.84% of patients received combination therapy with antiplatelet agents, antidiabetic agents, and antibiotics (p < 0.05). Conclusion: Arterial disease is an endemic burden that continues to increase worldwide. Personalized treatment strategies, ongoing patient education, and interdisciplinary care are essential to improve outcomes and minimize complications in diabetic patients undergoing vascular surgery. |
| Keywords |
| Type 2 diabetes mellitus, peripheral arterial disease, cardiovascular disease, and revascularization |
| Status: Accepted |
