PMID- 33849815 OWN - NLM STAT- MEDLINE DCOM- 20211015 LR - 20211015 IS - 1878-0210 (Electronic) IS - 1878-0210 (Linking) VI - 15 IP - 4 DP - 2021 Aug TI - Association between serum uric acid levels and cardiovascular events in hospitalized patients with type 2 diabetes. PG - 682-687 LID - S1751-9918(21)00043-7 [pii] LID - 10.1016/j.pcd.2021.03.003 [doi] AB - AIMS: This study aimed to determine the association between serum uric acid (UA) levels and cardiovascular events in hospitalized patients with type 2 diabetes mellitus (T2DM). METHODS: A retrospective cohort study was conducted in 2227 hospitalized patients with T2DM. Cox proportional hazards regression was used to assess the association between serum UA and cardiovascular events, including cardiovascular death, non-fatal myocardial infarction, non-fatal stroke, heart failure, unstable angina, and arrhythmias requiring hospitalization. RESULTS: Among 1314 men, 143 (10.9%) experienced cardiovascular events. Serum UA level was not associated with the risk of cardiovascular events (hazard ratio [HR] per 100 mumol/L increase in serum UA: 1.12, 95% confidence interval [CI]: 0.90-1.40). Among 913 women, 96 (10.5%) experienced cardiovascular events. For every 100 mumol/L increase in serum UA level, the risk of experiencing a cardiovascular event increased by 27% (HR: 1.27, 95% CI: 1.02-1.57). CONCLUSIONS: In hospitalized patients with T2DM, baseline serum UA levels were positively associated with cardiovascular events in women, but not in men. Serum UA levels may be a significant independent risk factor for cardiovascular events in women with T2DM. CI - Copyright (c) 2021. Published by Elsevier Ltd. FAU - Chang, Zhan AU - Chang Z AD - Department of Endocrinology, Peking University People's Hospital, 11 Xizhimen South Street, Xicheng District, Beijing, 100044, China; Department of Endocrinology, Second Hospital of Shijiazhuang, 53 Huaxi Road, Shijiazhuang, Hebei, 050000, China. FAU - Zhou, Xiang-Hai AU - Zhou XH AD - Department of Endocrinology, Peking University People's Hospital, 11 Xizhimen South Street, Xicheng District, Beijing, 100044, China. Electronic address: xianghaizhou1@163.c. FAU - Wen, Xin AU - Wen X AD - Department of Endocrinology, Peking University People's Hospital, 11 Xizhimen South Street, Xicheng District, Beijing, 100044, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20210410 PL - England TA - Prim Care Diabetes JT - Primary care diabetes JID - 101463825 RN - 268B43MJ25 (Uric Acid) SB - IM MH - *Diabetes Mellitus, Type 2/diagnosis/epidemiology MH - Female MH - *Heart Failure MH - Humans MH - Male MH - Retrospective Studies MH - Risk Factors MH - Uric Acid OTO - NOTNLM OT - Antioxidant OT - Cardiovascular events OT - Oxidant OT - Type 2 diabetes mellitus OT - Uric acid EDAT- 2021/04/15 06:00 MHDA- 2021/10/16 06:00 CRDT- 2021/04/14 05:50 PHST- 2020/02/09 00:00 [received] PHST- 2021/03/09 00:00 [revised] PHST- 2021/03/14 00:00 [accepted] PHST- 2021/04/15 06:00 [pubmed] PHST- 2021/10/16 06:00 [medline] PHST- 2021/04/14 05:50 [entrez] AID - S1751-9918(21)00043-7 [pii] AID - 10.1016/j.pcd.2021.03.003 [doi] PST - ppublish SO - Prim Care Diabetes. 2021 Aug;15(4):682-687. doi: 10.1016/j.pcd.2021.03.003. Epub 2021 Apr 10.