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Article
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
Publication 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.
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
Related Resources
Link to Article in PubMed
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/