In-hospital stay of patient with acute coronary syndrome with or without diabetes mellitus

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Abstract

Aim. Type 2 diabetes is associated with an increase in the risk of coronary heart disease, by a factor of two to four. The scientific community has suggested that all patients with diabetes could be treated as if they had a prior coronary heart disease. Methods. A computer review of 11-year prevalence (from 1991 to 2002) of type 2 diabetes among 3 242 patients admitted to the Intensive Coronary Care Unit of the Division of Cardiology of the University Hospital "Paolo Giaccone", Palermo, was carried out, with the diagnosis of ST elevation myocardial infarction (STEMI) (51%), non ST elevation myocardial infarction (NSTEMI) (6%) or unstable angina (UA) (43%). Results. Prevalence of type 2 diabetes was 31.5% on the overall population; in particular, a higher prevalence was found among STEMI affected patients (37% of the diabetic patients). The average number of days of an in-hospital stay was of 10.4±3.1 for diabetic patients without complications (N.=602) and of 15.9±4.4 for diabetic patients with clinical complications (N.=421) as compared with non diabetic patients non complicated (N.=1 821) or complicated (N.=398), with an average in-hospital stay of 7.4±1 and 12.8±3.2 days respectively; P<0.005. Conclusion. Diabetic patients with acute coronary syndrome had more clinical complications (41.1% vs 17.9%, P=0.0001) and a longer in-hospital stay period, resulting in an increased management costs, in comparison with non diabetic patients
Lingua originaleEnglish
pagine (da-a)159-164
Numero di pagine6
RivistaMinerva Cardioangiologica
Volume57
Stato di pubblicazionePublished - 2009

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Acute Coronary Syndrome
Length of Stay
Diabetes Mellitus
Type 2 Diabetes Mellitus
Coronary Disease
Coronary Care Units
Unstable Angina
Cardiology
Intensive Care Units
Costs and Cost Analysis

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine

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@article{4abef76287404eeaa3a4fc9cf3995400,
title = "In-hospital stay of patient with acute coronary syndrome with or without diabetes mellitus",
abstract = "Aim. Type 2 diabetes is associated with an increase in the risk of coronary heart disease, by a factor of two to four. The scientific community has suggested that all patients with diabetes could be treated as if they had a prior coronary heart disease. Methods. A computer review of 11-year prevalence (from 1991 to 2002) of type 2 diabetes among 3 242 patients admitted to the Intensive Coronary Care Unit of the Division of Cardiology of the University Hospital {"}Paolo Giaccone{"}, Palermo, was carried out, with the diagnosis of ST elevation myocardial infarction (STEMI) (51{\%}), non ST elevation myocardial infarction (NSTEMI) (6{\%}) or unstable angina (UA) (43{\%}). Results. Prevalence of type 2 diabetes was 31.5{\%} on the overall population; in particular, a higher prevalence was found among STEMI affected patients (37{\%} of the diabetic patients). The average number of days of an in-hospital stay was of 10.4±3.1 for diabetic patients without complications (N.=602) and of 15.9±4.4 for diabetic patients with clinical complications (N.=421) as compared with non diabetic patients non complicated (N.=1 821) or complicated (N.=398), with an average in-hospital stay of 7.4±1 and 12.8±3.2 days respectively; P<0.005. Conclusion. Diabetic patients with acute coronary syndrome had more clinical complications (41.1{\%} vs 17.9{\%}, P=0.0001) and a longer in-hospital stay period, resulting in an increased management costs, in comparison with non diabetic patients",
author = "Pasquale Assennato and Giuseppe Indovina and Salvatore Novo and Giuseppina Novo and Novo",
year = "2009",
language = "English",
volume = "57",
pages = "159--164",
journal = "Minerva Cardioangiologica",
issn = "0026-4725",
publisher = "Edizioni Minerva Medica S.p.A.",

}

TY - JOUR

T1 - In-hospital stay of patient with acute coronary syndrome with or without diabetes mellitus

AU - Assennato, Pasquale

AU - Indovina, Giuseppe

AU - Novo, Salvatore

AU - Novo, Giuseppina

AU - Novo, null

PY - 2009

Y1 - 2009

N2 - Aim. Type 2 diabetes is associated with an increase in the risk of coronary heart disease, by a factor of two to four. The scientific community has suggested that all patients with diabetes could be treated as if they had a prior coronary heart disease. Methods. A computer review of 11-year prevalence (from 1991 to 2002) of type 2 diabetes among 3 242 patients admitted to the Intensive Coronary Care Unit of the Division of Cardiology of the University Hospital "Paolo Giaccone", Palermo, was carried out, with the diagnosis of ST elevation myocardial infarction (STEMI) (51%), non ST elevation myocardial infarction (NSTEMI) (6%) or unstable angina (UA) (43%). Results. Prevalence of type 2 diabetes was 31.5% on the overall population; in particular, a higher prevalence was found among STEMI affected patients (37% of the diabetic patients). The average number of days of an in-hospital stay was of 10.4±3.1 for diabetic patients without complications (N.=602) and of 15.9±4.4 for diabetic patients with clinical complications (N.=421) as compared with non diabetic patients non complicated (N.=1 821) or complicated (N.=398), with an average in-hospital stay of 7.4±1 and 12.8±3.2 days respectively; P<0.005. Conclusion. Diabetic patients with acute coronary syndrome had more clinical complications (41.1% vs 17.9%, P=0.0001) and a longer in-hospital stay period, resulting in an increased management costs, in comparison with non diabetic patients

AB - Aim. Type 2 diabetes is associated with an increase in the risk of coronary heart disease, by a factor of two to four. The scientific community has suggested that all patients with diabetes could be treated as if they had a prior coronary heart disease. Methods. A computer review of 11-year prevalence (from 1991 to 2002) of type 2 diabetes among 3 242 patients admitted to the Intensive Coronary Care Unit of the Division of Cardiology of the University Hospital "Paolo Giaccone", Palermo, was carried out, with the diagnosis of ST elevation myocardial infarction (STEMI) (51%), non ST elevation myocardial infarction (NSTEMI) (6%) or unstable angina (UA) (43%). Results. Prevalence of type 2 diabetes was 31.5% on the overall population; in particular, a higher prevalence was found among STEMI affected patients (37% of the diabetic patients). The average number of days of an in-hospital stay was of 10.4±3.1 for diabetic patients without complications (N.=602) and of 15.9±4.4 for diabetic patients with clinical complications (N.=421) as compared with non diabetic patients non complicated (N.=1 821) or complicated (N.=398), with an average in-hospital stay of 7.4±1 and 12.8±3.2 days respectively; P<0.005. Conclusion. Diabetic patients with acute coronary syndrome had more clinical complications (41.1% vs 17.9%, P=0.0001) and a longer in-hospital stay period, resulting in an increased management costs, in comparison with non diabetic patients

UR - http://hdl.handle.net/10447/50726

M3 - Article

VL - 57

SP - 159

EP - 164

JO - Minerva Cardioangiologica

JF - Minerva Cardioangiologica

SN - 0026-4725

ER -