Comparison of the Hospital Arrival Time and Differences in Pain Quality between Diabetic and Non-Diabetic STEMI Patients

International Journal of Environmental Research and Public Health

Marina Gradiᘞr²  Dario Dilber¹  Jasna Cmrečnjak¹  Branko Ostrički¹  Ines Bilić-Ćurčić³ 

[1] Department of Cardiology, County Hospital Čakovec, 40000 Čakovec, Croatia; E-Mails:;Department of Endocrinology and Diabetes, County Hospital Čakovec, 40000 Čakovec, Croatia; E-Mail:;Clinical Department of Diabetes, Endocrinology and Metabolism Disorders, University Hospital Centre Osijek, 31000 Osijek, Croatia

关键词: STEMI;    diabetes type 2;    quality of pain;    time of arrival;    outcome;    prognosis;   

DOI  :  10.3390/ijerph120201387

来源: mdpi

【 摘 要 】

The aim of our study was to determine whether diabetic ST segment elevation myocardial infarction (STEMI) patients arrive in the emergency room (ER) later than non-diabetics, compare the differences in pain quality and quantity between those groups, and measure differences in the outcome after an index hospitalization. A total of 266 patients with first presentation of STEMI were included in our study during a period of two years, 62 with diabetes and 204 without diabetes type 2. Pain intensity and quality at admission were measured using a McGill short form questionnaire. Diabetic patients did not arrive significantly later than non-diabetic (χ²; p = 0.105). Most diabetic patients described their pain as “slight” or “none” (χ²; p < 0.01), while most non-diabetic patients graded their pain as “moderate” or “severe” (χ²; p < 0.01). The quality of pain tended to be more distinct in non-diabetic patients, while diabetic patients reported mainly shortness of breath (χ²; p < 0.01). Diabetic patients were more likely to suffer a multi-vessel disease (χ²; p < 0.01), especially in the late arrival group. Therefore, cautious evaluation of diabetic patients and adequate education of target population could improve overall survival while well-organized care like a primary PCI Network program could significantly reduce CV mortality.

【 授权许可】

CC BY   
© 2015 by the authors; licensee MDPI, Basel, Switzerland.