Sökning: onr:"swepub:oai:DiVA.org:uu-202892" >
Prevalence and clin...
-
Giraldez, Roberto R.
(författare)
Prevalence and clinical outcomes of undiagnosed diabetes mellitus and prediabetes among patients with high-risk non-ST-segment elevation acute coronary syndrome
- Artikel/kapitelEngelska2013
Förlag, utgivningsår, omfång ...
-
Elsevier BV,2013
-
printrdacarrier
Nummerbeteckningar
-
LIBRIS-ID:oai:DiVA.org:uu-202892
-
https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-202892URI
-
https://doi.org/10.1016/j.ahj.2013.01.005DOI
Kompletterande språkuppgifter
-
Språk:engelska
-
Sammanfattning på:engelska
Ingår i deldatabas
Klassifikation
-
Ämneskategori:ref swepub-contenttype
-
Ämneskategori:art swepub-publicationtype
Anmärkningar
-
Background We examined the prevalence of undiagnosed diabetes or prediabetes and associations with ischemic outcomes among non-ST-segment elevation acute coronary syndrome (ACS) patients. Methods We categorized 8795 EARLY ACS trial patients into one of the following groups: "known diabetes" (n = 2860 [32.5%]; reported on the case report form), "undiagnosed diabetes" (n = 1069 [12.2%]; no diabetes history and fasting glucose >= 126 mg/dL or hemoglobin A(1c) >= 6.5%), "prediabetes" (n = 947 [10.8%]; fasting glucose >= 110 to <126 mg/dL, or " normal" (n = 3919 [44.5%]). Adjusted associations of known diabetes, undiagnosed diabetes, and prediabetes (versus normal) with 30-day and 1-year outcomes were determined. Results Undiagnosed diabetes was associated with greater 30-day death or myocardial infarction (MI) (ORadj 1.28, 95% CI 1.05-1.57), driven primarily by greater 30-day mortality (ORadj 1.65, 95% CI 1.09-2.48). Known diabetic patients had 30-day death or MI outcomes similar to those of normal patients, but 30-day mortality was higher (ORadj 1.40, 95% CI 1.01-1.93). Prediabetic patients had 30-day death or MI outcomes similar to those of normal patients. One-year mortality was greater among known diabetic patients (HRadj 1.38, 95% CI 1.13-1.67) but not among those with undiagnosed diabetes or prediabetes. Conclusions Undiagnosed diabetes and prediabetes were common among high-risk non-ST-segment elevation ACS patients. Routine screening for undiagnosed diabetes may be useful since these patients seem to have worse short-term outcomes and deserve consideration of alternative management strategies.
Biuppslag (personer, institutioner, konferenser, titlar ...)
-
Clare, Robert M.
(författare)
-
Lopes, Renato D.
(författare)
-
Dalby, Anthony J.
(författare)
-
Prabhakaran, Dorairaj
(författare)
-
Brogan, Gerard X., Jr.
(författare)
-
Giugliano, Robert P.
(författare)
-
James, Stefan K.Uppsala universitet,Kardiologi(Swepub:uu)stjam367
(författare)
-
Tanguay, Jean-Francois
(författare)
-
Pollack, Charles V., Jr.
(författare)
-
Harrington, Robert A.
(författare)
-
Braunwald, Eugene
(författare)
-
Newby, L. Kristin
(författare)
-
Uppsala universitetKardiologi
(creator_code:org_t)
Sammanhörande titlar
-
Ingår i:American Heart Journal: Elsevier BV165:6, s. 918-925.e20002-87031097-6744
Internetlänk
Hitta via bibliotek
Till lärosätets databas
- Av författaren/redakt...
-
Giraldez, Robert ...
-
Clare, Robert M.
-
Lopes, Renato D.
-
Dalby, Anthony J ...
-
Prabhakaran, Dor ...
-
Brogan, Gerard X ...
-
visa fler...
-
Giugliano, Rober ...
-
James, Stefan K.
-
Tanguay, Jean-Fr ...
-
Pollack, Charles ...
-
Harrington, Robe ...
-
Braunwald, Eugen ...
-
Newby, L. Kristi ...
-
visa färre...
- Artiklar i publikationen
-
American Heart J ...
- Av lärosätet
-
Uppsala universitet