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Long-Term Mortality in Diabetics Undergoing Major Surgery
This study is currently recruiting participants.
Verified by University Hospital, Basel, Switzerland, May 2008
Sponsored by: University Hospital, Basel, Switzerland
Information provided by: University Hospital, Basel, Switzerland
ClinicalTrials.gov Identifier: NCT00286572
  Purpose

Patients with CAD and diabetes mellitus have a better prognosis than patients with CAD and no diabetes mellitus. In acute coronary syndrome patients with an insulin therapy had a better survival than patients with oral antidiabetics. But there is not known wether perioperative therapy with insulin or oral antidiabetics is associated with higher risk for higher perioperative cardiac morbidity and mortality and worse long-term survival.


Condition
Diabetes Mellitus
Coronary Heart Disease
Major Non-Cardiac Surgery

MedlinePlus related topics: Coronary Artery Disease Diabetes Heart Diseases Surgery
Drug Information available for: Insulin
U.S. FDA Resources
Study Type: Observational
Study Design: Cohort, Prospective
Official Title: Comparison in Survival in Patients With Insulin-Dependent and Non-Insulin-Dependent Diabetes Mellitus With Known or Suspected Coronary Artery Disease Undergoing Major Non-Cardiac Surgery

Further study details as provided by University Hospital, Basel, Switzerland:

Biospecimen Retention:   None Retained

Biospecimen Description:

Estimated Enrollment: 400
Study Start Date: January 2004
Estimated Study Completion Date: December 2008
Detailed Description:

Diabetes mellitus is an important risk factor for arteriosclerosis in general and for coronary artery disease. Patients with CAD have a worse prognosis if they have diabetes mellitus. But it is not known whether the treatment of Dm has an influence on mortality or morbidity.

In face of the high number of patients with Dm and the therapeutic consequences this prospective study wants to compare short-time and long-time morbidity in Patients with Dm undergoing major non-vascular surgery. Inclusion criteria are medically treated Dm (insulin or oral antidiabetics) and major non cardiac surgery.

The "normal" perioperative treatment of the study is not changed by the study itself.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Sampling Method:   Probability Sample
Study Population

Patients with treated diabetes mellitus undergoing surgery with major risk or patients with treated diabetes mellitus and known coronary artery disease undergoing surgery with major or intermediate risk

Criteria

Inclusion Criteria:

  • diabetes mellitus with insulin or oral antidiabetics
  • proven coronary artery disease or very high risk for it
  • major non-vascular surgery

Exclusion Criteria:

  • emergency
  • no consent
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00286572

Contacts
Contact: Miodrag Filipovic, PD Dr. 0041-61-2652525 mfilipovic@uhbs.ch
Contact: Daniel Bolliger, Dr. 0041-61-2652525 dabolliger@uhbs.ch

Locations
Switzerland, CH
University Hospital Active, not recruiting
Basel, CH, Switzerland, 4000
University Hospital Recruiting
Basel, CH, Switzerland, 4000
Contact: Miodrag Filipovic, PD Dr.     0041-61-2652525     mfilipovic@uhbs.ch    
Contact: Daniel Bolliger, Dr.     0041-61-2652525     dabolliger@uhbs.ch    
Sponsors and Collaborators
University Hospital, Basel, Switzerland
Investigators
Principal Investigator: Miodrag Filipovic, PD Dr. University Hospital, Basel, Switzerland
  More Information

Responsible Party: - ( Prof. Dr. M. Seeberger, Head of Cardiothoracic of Anaesthesia )
Study ID Numbers: 129/03
Study First Received: February 2, 2006
Last Updated: May 5, 2008
ClinicalTrials.gov Identifier: NCT00286572  
Health Authority: Switzerland: Swissmedic

Keywords provided by University Hospital, Basel, Switzerland:
insulin-dependent diabetes mellitus
non-insulin-dependent diabetes mellitus
coronary artery disease
long-term mortality

Study placed in the following topic categories:
Arterial Occlusive Diseases
Heart Diseases
Metabolic Diseases
Myocardial Ischemia
Diabetes mellitus type 1
Diabetes Mellitus
Vascular Diseases
Endocrine System Diseases
Ischemia
Arteriosclerosis
Insulin
Coronary Disease
Diabetes Mellitus, Type 1
Diabetes Mellitus, Type 2
Endocrinopathy
Metabolic disorder
Glucose Metabolism Disorders
Coronary Artery Disease

Additional relevant MeSH terms:
Cardiovascular Diseases

ClinicalTrials.gov processed this record on February 11, 2009