December 9, 2010European Journal of Heart Failure
Oral Glucose Tolerance Testing in an Outpatient Heart Failure Clinic Reveals a High Proportion of Undiagnosed Diabetic Patients with an Adverse Prognosis
Population
413 consecutive outpatients with systolic heart failure and LVEF ≤ 45% referred to a heart failure clinic.
Design
Cohort
Follow-up
median 591 days
Authors
Discussion
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Member takes
Implication
Unrecognized diabetes was associated with higher HF mortality; leaves open whether routine OGTT screening improves outcomes.
Structured PICO
P
Population
413 consecutive outpatients with systolic heart failure (SHF) and LVEF ≤ 45% referred to a heart failure clinic.
I
Intervention
Oral glucose tolerance testing (OGTT) in patients without a history of diabetes.
O
Outcome
Survival status / mortality rate at median follow-up of 591 dayshard clinical
Routine oral glucose tolerance testing in heart failure outpatients identifies a high proportion of unrecognized diabetes, which is associated with significantly increased mortality.
Cite This Study
Egstrup et al. (2010) studied this question.