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Decade-long trends in the characteristics, management and hospital outcomes of diabetic patients with ST-segment elevation myocardial infarction
Meyers Primary Care Institute Publications and Presentations
  • Mayra Tisminetzky, University of Massachusetts Medical School
  • Samuel W. Joffe, University of Massachusetts Medical School
  • David D. McManus, University of Massachusetts Medical School
  • Chad E. Darling, University of Massachusetts Medical School
  • Joel M. Gore, University of Massachusetts Medical School
  • Jorge L. Yarzebski, University of Massachusetts Medical School
  • Darleen M. Lessard, University of Massachusetts Medical School
  • Robert J. Goldberg, University of Massachusetts Medical School
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
Date
5-1-2014
Document Type
Article
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.
Rights and Permissions
Citation: 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
Related Resources
Link to Article in PubMed
Keywords
  • UMCCTS funding
PubMed ID
24618530
Citation Information
Mayra Tisminetzky, Samuel W. Joffe, David D. McManus, Chad E. Darling, et al.. "Decade-long trends in the characteristics, management and hospital outcomes of diabetic patients with ST-segment elevation myocardial infarction" Vol. 11 Iss. 3 (2014) ISSN: 1479-1641 (Linking)
Available at: http://works.bepress.com/jorge_yarzebski/93/