The impact of diabetes on one-year health status outcomes following acute coronary syndromes

被引：30
作者：
Peterson P.N. [1 ,2 ]
Spertus J.A. [3 ,4 ]
Magid D.J. [5 ,6 ]
Masoudi F.A. [1 ,2 ]
Reid K. [3 ]
Hamman R.F. [6 ]
Rumsfeld J.S. [7 ]
机构：
[1] Department of Medicine, University of Colorado at Denver, Health Sciences Center, Denver, CO
[2] Department of Medicine, Denver Health Medical Center, Denver, CO
[3] Cardiovascular Research, Mid American Heart Institute of Saint Luke's Hospital, Kansas City, MO
[4] School of Medicine, University of Missouri - Kansas City, Kansas City, MO
[5] Clinical Research Unit, Kaiser Permanente, Denver, CO
[6] Department of Preventive Medicine and Biometrics, University of Colorado at Denver and Health Sciences Center, Denver, CO
[7] Department of Medicine, VA Medical Center, Denver, CO
来源：
BMC Cardiovascular Disorders | / 6卷 / 1期
关键词：
Acute Coronary Syndrome; Physical Component Summary; Mental Component Summary Score; Physical Component Summary Score; Seattle Angina Questionnaire;
D O I：
10.1186/1471-2261-6-41
中图分类号：
学科分类号：
摘要：
Background: Diabetes is an important predictor of mortality patients with ACS. However, little is known about the association between diabetes and health status after ACS. The objective of this study was to examine the association between diabetes and patients' health status outcomes one year after an acute coronary syndrome (ACS). Methods: This was a prospective cohort study of patients hospitalized with ACS. Patients were evaluated at baseline and one year with the Seattle Angina Questionnaire (SAQ). Socio-demographic and clinical characteristics were ascertained during index ACS hospitalization. One year SAQ Angina Frequency, Physical Limitation, and Health-Related Quality of Life (HRQoL) scales were the primary outcomes of the study. Results: Of 1199 patients, 326 (37%) had diabetes. Patients with diabetes were more likely to present with unstable angina (52% vs. 40%; p <0.001), less likely to present with STEMI (20% vs. 31%; p < 0.001), and less likely to undergo coronary angiography (68% vs. 82%; p < 0.001). In multivariable analyses, the presence of diabetes was associated with significantly more angina (OR 1.36; 95% CI 1.01-1.38), cardiac-related physical limitation (OR 1.94; 95% CI 1.57-3.24) and HRQoL deficits (OR 1.43; 95% CI 1.0 1-2.04) at one year. Conclusion: Diabetes is associated with more angina, worse physical limitation, and worse HRQoL one year after an ACS. Future studies should assess whether health status outcomes of patients with diabetes could be improved through more aggressive ACS treatment or post-discharge surveillance and angina management. © 2006 Peterson et al; licensee BioMed Central Ltd.
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