Decade-long trends in the characteristics, management and hospital outcomes of diabetic patients with ST-segment elevation myocardial infarction. (May 2014)

• Record Type: Journal Article
• Authors: Tisminetzky, Mayra; Joffe, Samuel; McManus, David D; Darling, Chad; Gore, Joel M; Yarzebski, Jorge; Lessard, Darleen; Goldberg, Robert J
• Is Part Of: Diabetes & vascular disease research. Volume 11:Number 3(2014:May)
• Page Start: 182
• Page End: 189
• Publication Date: 2014-05
• Subjects: Diabetes -- hospital prognosis -- ST-segment elevation myocardial infarction; Diabetic angiopathies -- Periodicals; 616.462005
• DOI: 10.1177/1479164114524235
• Languages: English
• ISSNs: 1479-1641

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.