eScholarship@UMMS

Title

Decade-long trends in the characteristics, management and hospital outcomes of diabetic patients with ST-segment elevation myocardial infarction

Authors

Mayra Tisminetzky, University of Massachusetts Medical SchoolFollow
Samuel W. Joffe, University of Massachusetts Medical SchoolFollow
David D. McManus, University of Massachusetts Medical SchoolFollow
Chad E. Darling, University of Massachusetts Medical SchoolFollow
Joel M. Gore, University of Massachusetts Medical SchoolFollow
Jorge L. Yarzebski, University of Massachusetts Medical SchoolFollow
Darleen M. Lessard, University of Massachusetts Medical SchoolFollow
Robert J. Goldberg, University of Massachusetts Medical SchoolFollow

UMMS Affiliation

Department of Medicine; Department of Medicine, Division of Cardiovascular Medicine; Department of Quantitative Health Sciences; Department of Emergency Medicine; Meyers Primary Care Institute

Publication Date

2014-5

Document Type

Article

Disciplines

Cardiology | Cardiovascular Diseases | Clinical Epidemiology | Endocrine System Diseases | Endocrinology, Diabetes, and Metabolism | Epidemiology

Abstract

PURPOSE: Our objectives were to describe recent trends in the characteristics and in-hospital outcomes in diabetic as compared with non-diabetic patients hospitalized with ST-segment elevation myocardial infarction (STEMI).

METHODS: We reviewed the medical records of 2537 persons with (n = 684) and without (n = 1853) a history of diabetes who were hospitalized for STEMI between 1997 and 2009 at 11 medical centres in Central Massachusetts.

RESULTS: Diabetic patients were more likely to be older, female and to have a higher prevalence of previously diagnosed comorbidities. Diabetic patients were more likely to have developed important in-hospital complications and to have a longer hospital stay compared with non-diabetic patients. Between 1997 and 2009, there was a marked decline in hospital mortality in diabetic (20.0%-5.6%) and non-diabetic (18.6%-7.5%) patients.

CONCLUSION: Despite reduced hospital mortality in patients hospitalized with STEMI, diabetic patients continue to experience significantly more adverse outcomes than non-diabetics.

Keywords

UMCCTS funding

DOI of Published Version

10.1177/1479164114524235

Source

Diab Vasc Dis Res. 2014 May;11(3):182-9. doi: 10.1177/1479164114524235. Epub 2014 Mar 11. Link to article on publisher's site

Journal/Book/Conference Title

Diabetes and vascular disease research : official journal of the International Society of Diabetes and Vascular Disease

Related Resources

Link to Article in PubMed

PubMed ID

24618530

Repository Citation

Tisminetzky, Mayra; Joffe, Samuel W.; McManus, David D.; Darling, Chad E.; Gore, Joel M.; Yarzebski, Jorge L.; Lessard, Darleen M.; and Goldberg, Robert J., "Decade-long trends in the characteristics, management and hospital outcomes of diabetic patients with ST-segment elevation myocardial infarction" (2014). Meyers Primary Care Institute Publications and Presentations. 689.
https://escholarship.umassmed.edu/meyers_pp/689