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The association between hyperglycaemia on admission and 180-day mortality in acute myocardial infarction patients with and without diabetes.
Diabet Med 2005; 22(10):1321-5DM

Abstract

AIM

To evaluate the association between hyperglycaemia on admission, previously known diabetes and 180-day mortality in acute myocardial infarction (AMI) patients.

METHODS

The study population consisted of 779 consecutive AMI patients from the Myocardial Infarction Registry in Estonia who had an admission venous plasma glucose level recorded and who were admitted to the Tartu University Clinics within a period of 2 years. Logistic regression analysis was used to estimate crude and adjusted odds ratios (OR) with 95% confidence interval (95% CI).

RESULTS

In patients without a history of diabetes, glucose level was < or = 11.0 mmol/l in 556 patients (group 1) and > 11.0 mmol/l in 109 patients (group 2). Of those with diabetes, glucose level was < or = 11.0 mmol/l in 30 patients (group 3) and > 11.0 mmol/l in 84 patients (group 4). Non-diabetic hyperglycaemic patients underwent more resuscitations outside of hospital (group 2, 31.2% vs. group 1, 2.0% vs. group 3, 6.7% vs. group 4, 6.0%, P < 0.0001) and had a higher 180-day mortality compared with other groups (group 2, 47.7% vs. group 1, 14.1% vs. group 3, 26. 7% vs. group 4, 29.8%, P < 0.0001). After adjustment for potentially confounding factors, hyperglycaemic non-diabetic (OR 4.35, 95% CI 1.79-10.59), but not diabetic (OR 1.79, 95% CI 0.62-5.15) status, remained an independent predictor of 180-day mortality.

CONCLUSIONS

AMI patients with hyperglycaemia on admission, independent of a history of diabetes, represent a high-risk population for 180-day mortality. The worst outcome occurs in non-diabetic hyperglycaemic patients. Further studies are warranted to clarify the questions of hyperglycaemia treatment in AMI patients.

Authors+Show Affiliations

Department of Cardiology, University of Tartu, Tartu, Estonia. Tiia.Ainla@kliinikum.ee

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

16176190

Citation

Ainla, T, et al. "The Association Between Hyperglycaemia On Admission and 180-day Mortality in Acute Myocardial Infarction Patients With and Without Diabetes." Diabetic Medicine : a Journal of the British Diabetic Association, vol. 22, no. 10, 2005, pp. 1321-5.
Ainla T, Baburin A, Teesalu R, et al. The association between hyperglycaemia on admission and 180-day mortality in acute myocardial infarction patients with and without diabetes. Diabet Med. 2005;22(10):1321-5.
Ainla, T., Baburin, A., Teesalu, R., & Rahu, M. (2005). The association between hyperglycaemia on admission and 180-day mortality in acute myocardial infarction patients with and without diabetes. Diabetic Medicine : a Journal of the British Diabetic Association, 22(10), pp. 1321-5.
Ainla T, et al. The Association Between Hyperglycaemia On Admission and 180-day Mortality in Acute Myocardial Infarction Patients With and Without Diabetes. Diabet Med. 2005;22(10):1321-5. PubMed PMID: 16176190.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The association between hyperglycaemia on admission and 180-day mortality in acute myocardial infarction patients with and without diabetes. AU - Ainla,T, AU - Baburin,A, AU - Teesalu,R, AU - Rahu,M, PY - 2005/9/24/pubmed PY - 2006/1/31/medline PY - 2005/9/24/entrez SP - 1321 EP - 5 JF - Diabetic medicine : a journal of the British Diabetic Association JO - Diabet. Med. VL - 22 IS - 10 N2 - AIM: To evaluate the association between hyperglycaemia on admission, previously known diabetes and 180-day mortality in acute myocardial infarction (AMI) patients. METHODS: The study population consisted of 779 consecutive AMI patients from the Myocardial Infarction Registry in Estonia who had an admission venous plasma glucose level recorded and who were admitted to the Tartu University Clinics within a period of 2 years. Logistic regression analysis was used to estimate crude and adjusted odds ratios (OR) with 95% confidence interval (95% CI). RESULTS: In patients without a history of diabetes, glucose level was < or = 11.0 mmol/l in 556 patients (group 1) and > 11.0 mmol/l in 109 patients (group 2). Of those with diabetes, glucose level was < or = 11.0 mmol/l in 30 patients (group 3) and > 11.0 mmol/l in 84 patients (group 4). Non-diabetic hyperglycaemic patients underwent more resuscitations outside of hospital (group 2, 31.2% vs. group 1, 2.0% vs. group 3, 6.7% vs. group 4, 6.0%, P < 0.0001) and had a higher 180-day mortality compared with other groups (group 2, 47.7% vs. group 1, 14.1% vs. group 3, 26. 7% vs. group 4, 29.8%, P < 0.0001). After adjustment for potentially confounding factors, hyperglycaemic non-diabetic (OR 4.35, 95% CI 1.79-10.59), but not diabetic (OR 1.79, 95% CI 0.62-5.15) status, remained an independent predictor of 180-day mortality. CONCLUSIONS: AMI patients with hyperglycaemia on admission, independent of a history of diabetes, represent a high-risk population for 180-day mortality. The worst outcome occurs in non-diabetic hyperglycaemic patients. Further studies are warranted to clarify the questions of hyperglycaemia treatment in AMI patients. SN - 0742-3071 UR - https://www.unboundmedicine.com/medline/citation/16176190/The_association_between_hyperglycaemia_on_admission_and_180_day_mortality_in_acute_myocardial_infarction_patients_with_and_without_diabetes_ L2 - https://doi.org/10.1111/j.1464-5491.2005.01625.x DB - PRIME DP - Unbound Medicine ER -