Accessibility to health care of diabetic patients with acute coronary syndrome ST-segment elevation
| Autor: | E. Mira-Sánchez, C.J. Fernández-González, A. Baeza-Román, J. Latour-Pérez, J. Arguedas-Cervera, E. de Miguel-Balsa, M. Lafuente-Mateo, M. Rico-Sala, V. Díaz de Antoñana-Saez |
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| Rok vydání: | 2016 |
| Předmět: |
Acute coronary syndrome
medicine.medical_specialty In hospital mortality business.industry Retrospective cohort study 030204 cardiovascular system & hematology medicine.disease Logistic regression Patient delay 03 medical and health sciences 0302 clinical medicine Internal medicine Health care medicine ST segment 030212 general & internal medicine business Intensive care medicine |
| Zdroj: | Medicina Intensiva (English Edition). 40:90-95 |
| ISSN: | 2173-5727 |
| DOI: | 10.1016/j.medine.2016.02.001 |
| Popis: | Objectives To measure accessibility to health care among diabetic patients and analyze whether differences in delay explain differences in hospital mortality. Methods A retrospective cohort study was conducted in diabetic patients with acute coronary syndrome with ST-segment elevation included in the ARIAM-SEMICYUC registry (2010–2013). Crude and adjusted analyses were performed using unconditional logistic regression. Results A total of 4817 patients were analyzed, of whom 1070 (22.2%) were diabetics. No differences were found in access to health care between diabetic and non-diabetic patients. Diabetic patients presented with longer patient delay (90 min vs. 75 min; p = .004) and prehospital delay (150 min vs. 130 min; p = .002). Once the health system was contacted, diabetic patients had a lower reperfusion rate (50% vs. 57.7%; p p Conclusions Diabetic patients had a longer delay in access to health care, though such delay was not independently related to increased mortality. |
| Databáze: | OpenAIRE |
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