Association of Type 1 Diabetes vs Type 2 #Diabetes Diagnosed During Childhood and Adolescence With #Complications During Teenage Years and Young Adulthood
http://jamanetwork.com/journals/jama/article-abstract/2606400
Among teenagers and young adults who had been diagnosed with diabetes during childhood and adolescence, the prevalence of complications was higher among those with type 2 diabetes compared with type 1 diabetes, but frequent in both groups.
http://jamanetwork.com/journals/jama/article-abstract/2606400
Among teenagers and young adults who had been diagnosed with diabetes during childhood and adolescence, the prevalence of complications was higher among those with type 2 diabetes compared with type 1 diabetes, but frequent in both groups.
Jamanetwork
Childhood Diabetes and Complications in Young Adulthood
This cohort study uses diabetes registry data to compare rates of complications related to type 1 vs type 2 diabetes among teenagers and young adults diagnosed with diabetes during childhood and adolescence.
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Association between #complications and death within 30 days after noncardiac #surgery
http://www.cmaj.ca/content/191/30/E830
Eight complications were independently associated with 30-day mortality. The 3 complications with the largest attributable fractions (AF; i.e., potential proportion of deaths attributable to these complications) were major bleeding (6238 patients, 15.6%; adjusted hazard ratio [HR] 2.6, 95% confidence interval [CI] 2.2–3.1; AF 17.0%); myocardial injury after noncardiac surgery [MINS] (5191 patients, 13.0%; adjusted HR 2.2, 95% CI 1.9–2.6; AF 15.9%); and sepsis (1783 patients, 4.5%; adjusted HR 5.6, 95% CI 4.6–6.8; AF 12.0%).
INTERPRETATION: Among adults undergoing noncardiac surgery, 99.3% of deaths occurred after the procedure and 44.9% of deaths were associated with 3 complications: major bleeding, MINS and sepsis. Given these findings, focusing on the prevention, early identification and management of these 3 complications holds promise for reducing perioperative mortality.
Association between #complications and death within 30 days after noncardiac #surgery
http://www.cmaj.ca/content/191/30/E830
Eight complications were independently associated with 30-day mortality. The 3 complications with the largest attributable fractions (AF; i.e., potential proportion of deaths attributable to these complications) were major bleeding (6238 patients, 15.6%; adjusted hazard ratio [HR] 2.6, 95% confidence interval [CI] 2.2–3.1; AF 17.0%); myocardial injury after noncardiac surgery [MINS] (5191 patients, 13.0%; adjusted HR 2.2, 95% CI 1.9–2.6; AF 15.9%); and sepsis (1783 patients, 4.5%; adjusted HR 5.6, 95% CI 4.6–6.8; AF 12.0%).
INTERPRETATION: Among adults undergoing noncardiac surgery, 99.3% of deaths occurred after the procedure and 44.9% of deaths were associated with 3 complications: major bleeding, MINS and sepsis. Given these findings, focusing on the prevention, early identification and management of these 3 complications holds promise for reducing perioperative mortality.
CMAJ
Association between complications and death within 30 days after noncardiac surgery
BACKGROUND: Among adults undergoing contemporary noncardiac surgery, little is known about the frequency and timing of death and the associations between perioperative complications and mortality. We aimed to establish the frequency and timing of death and…