Decade-long trends in the characteristics, management and hospital outcomes of diabetic patients with ST-segment elevation myocardial infarction
Department of Medicine; Department of Medicine, Division of Cardiovascular Medicine; Department of Quantitative Health Sciences; Department of Emergency Medicine; Meyers Primary Care Institute
Cardiology | Cardiovascular Diseases | Clinical Epidemiology | Endocrine System Diseases | Endocrinology, Diabetes, and Metabolism | Epidemiology
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.
DOI of Published Version
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
Diabetes and vascular disease research : official journal of the International Society of Diabetes and Vascular Disease
Tisminetzky M, Joffe SW, McManus DD, Darling CE, Gore JM, Yarzebski JL, Lessard DM, Goldberg RJ. (2014). Decade-long trends in the characteristics, management and hospital outcomes of diabetic patients with ST-segment elevation myocardial infarction. Meyers Health Care Institute Publications. https://doi.org/10.1177/1479164114524235. Retrieved from https://escholarship.umassmed.edu/meyers_pp/689