Key result
A history of diabetes mellitus was associated with a significantly higher 5-year mortality compared to non-diabetic patients (53.5% vs 23.3%; adjusted RR 1.60; 95% CI 1.35-1.90; p<0.001).
Why the study?
Does a history of diabetes mellitus increase the 5-year mortality rate in patients presenting to the emergency department with acute chest pain or symptoms suggestive of AMI?
Cohort (n=5,230)
No
Does a history of diabetes mellitus increase the 5-year mortality rate in patients presenting to the emergency department with acute chest pain or symptoms suggestive of AMI?
Relative Risk: 1.6 (95% CI 1.35–1.9)
Absolute Event Rate: 53.5% vs 23.3%
p-value: p=< 0.001
A history of diabetes significantly increases the 5-year mortality risk (adjusted RR 1.60) in patients presenting to the emergency department with acute chest pain or symptoms suggestive of AMI.
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Diabetes history marks higher 5-year mortality in ED chest pain; supports risk awareness yet leaves open targeted interventions.
Herlitz et al. (1998) conducted a cohort in Acute chest pain or symptoms suggestive of acute myocardial infarction (n=5,230). History of diabetes mellitus vs. No history of diabetes mellitus was evaluated on 5-year mortality (adjusted risk ratio 1.60, 95% CI 1.35-1.90, p=< 0.001). A history of diabetes mellitus was associated with a significantly higher 5-year mortality compared to non-diabetic patients (53.5% vs 23.3%; adjusted RR 1.60; 95% CI 1.35-1.90; p<0.001).
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