What question did this study set out to answer?

To assess the immediate and mid-term clinical outcomes of coronary stenting in diabetic patients.

July 1, 1999Catheterization and Cardiovascular InterventionsOpen Access

Coronary stenting in diabetics: Immediate and mid-term clinical outcome

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Why the study?

Does coronary stenting provide acceptable immediate and mid-term clinical outcomes in diabetic patients?

Population

272 consecutive diabetic patients undergoing coronary stenting between May 1995 and April 1997, representing…

Comparison

Coronary stenting performed on large vessels. vs Nondiabetic patients and internal comparison…

Design

Cohort

Follow-up

mean 13 +/- 8 months

Authors

TJThierry JosephCentre Hospitalier de Cornouaille JFJean FajadetUniversity of Pisa CJChristian JordanL'Oréal (France)

Discussion

Member takes

Implication

Insulin-requiring diabetes was associated with higher mid-term mortality after stenting; leaves open optimal management strategies in this subgroup.

Key Points

To assess the immediate and mid-term clinical outcomes of coronary stenting in diabetic patients.
Retrospective analysis of 272 consecutive diabetic patients undergoing coronary stenting from May 1995 to April 1997.
Follow-up duration averaged 13 months; complications were assessed during in-hospital stay and clinical follow-up.
Immediate success rate of stenting in diabetics was 100%.
Overall mortality was higher in insulin-requiring patients (9.3%) compared to non-insulin-requiring (2.4%).
Nonfatal myocardial infarction and revascularization rates were similar between the two groups.

Structured PICO

Does coronary stenting provide acceptable immediate and mid-term clinical outcomes in diabetic patients?

Population

272 consecutive diabetic patients (58 insulin-requiring, 214 non-insulin-requiring) undergoing coronary stenting between May 1995 and April 1997, representing 12.5% of the stented population.

Intervention

Coronary stenting performed on large vessels (mean diameter >=3 mm).

Comparator

Nondiabetic patients (for immediate outcomes) and internal comparison between insulin-requiring and non-insulin-requiring diabetics.

Outcome

Immediate complications (mortality, nonfatal myocardial infarction, emergency coronary bypass surgery, and stent subacute thrombosis) and mid-term clinical outcomes (overall mortality, nonfatal myocardial infarction, and target lesion revascularization).hard clinical

Coronary stenting in diabetic patients yields acceptable immediate and mid-term results, though mid-term mortality remains significantly higher in insulin-requiring diabetics.

Cite This Study

Joseph et al. (1999) studied this question.

synapsesocial.com/papers/6a72b5e0f44fa9f079e016c5 https://doi.org/10.1002/(sici)1522-726x(199907)47:3<279::aid-ccd3>3.0.co;2-p

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Implication

Insulin-requiring diabetes was associated with higher mid-term mortality after stenting; leaves open optimal management strategies in this subgroup.

Coronary stenting in diabetics: Immediate and mid-term clinical outcome

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Coronary stenting in diabetics: Immediate and mid-term clinical outcome

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Also Consider

Also Consider