PMID- 19274026
OWN - NLM
STAT- MEDLINE
DCOM- 20090807
LR  - 20090310
IS  - 0026-4725 (Print)
IS  - 0026-4725 (Linking)
VI  - 57
IP  - 2
DP  - 2009 Apr
TI  - In-hospital stay of patient with acute coronary syndrome with or without diabetes 
      mellitus.
PG  - 159-64
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 3242 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.=1821) or 
      complicated (N.=398), with an average in-hospital stay of 7.4+/-1 and 12.8+/-3.2 
      days respectively; P<0.005. CONCLUSIONS: 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.
FAU - Novo, G
AU  - Novo G
AD  - Section of CardioAngiology, Division of Cardiology, Department of Internal 
      Medicine, Cardiovascular and Nephrourological Disease, University Hospital ''P. 
      Giaccone'', University of Palermo, Palermo, Italy.
FAU - Scordato, F
AU  - Scordato F
FAU - Cerruto, G
AU  - Cerruto G
FAU - Vitale, G
AU  - Vitale G
FAU - Ciaramitaro, G
AU  - Ciaramitaro G
FAU - Coppola, G
AU  - Coppola G
FAU - Farinella, M
AU  - Farinella M
FAU - Rotolo, A
AU  - Rotolo A
FAU - Indovina, G
AU  - Indovina G
FAU - Assennato, P
AU  - Assennato P
FAU - Novo, S
AU  - Novo S
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PL  - Italy
TA  - Minerva Cardioangiol
JT  - Minerva cardioangiologica
JID - 0400725
SB  - IM
MH  - Acute Coronary Syndrome/diagnosis/economics/*epidemiology/etiology
MH  - Aged
MH  - Diabetes Complications/diagnosis/economics/*epidemiology
MH  - Diabetes Mellitus, Type 2/*complications/diagnosis/economics/*epidemiology
MH  - Electrocardiography
MH  - Female
MH  - Humans
MH  - Intensive Care Units
MH  - Length of Stay/economics/*statistics & numerical data
MH  - Male
MH  - Middle Aged
MH  - Myocardial Infarction/epidemiology
MH  - Prevalence
MH  - Retrospective Studies
MH  - Risk Factors
MH  - Sicily/epidemiology
MH  - Time Factors
EDAT- 2009/03/11 09:00
MHDA- 2009/08/08 09:00
CRDT- 2009/03/11 09:00
PHST- 2009/03/11 09:00 [entrez]
PHST- 2009/03/11 09:00 [pubmed]
PHST- 2009/08/08 09:00 [medline]
PST - ppublish
SO  - Minerva Cardioangiol. 2009 Apr;57(2):159-64.