Perfil clínico-demográfico e desfechos dos pacientes diabéticos com IAMCSST em Sergipe: registro VICTIM

Abstract

Background: Despite the greater use of reperfusion therapies, diabetics still present higher rates of complications and mortality after AMI. This implies the need to know the characteristics of this population and their outcomes. Mainly in Sergipe, where it is known that there is an underutilization of thrombolysis and primary angioplasty. Objective: To describe the clinico-demographic profile and the 30-day outcomes of diabetic and non-diabetic patients with STEMI in Sergipe. Methods: This is a sub-analysis of the VICTIM registry, in which patients with IAMCSST, coming from the only four hospitals with capacity to perform angioplasty in Sergipe, were evaluated between December 2014 and September 2017. The diagnosis of diabetes was self-reported at the time of admission into the study. Results: Of the 878 patients, 290 were diabetic. They were older (63.3 ± 10.9 years vs. 61.0 ± 12.8 years, p = 0.006), had a lower number of men (57.6% vs 71.1%, p <0.001), presented (76.6% vs 58.3%, p <0.001), dyslipidemia (52.8% vs 32.1%, p <0.001), and a higher number of coronary arteries (65.1% vs 55.2% (p = 0.001), higher rates of CHF (20.1% vs 14.9%, p = 0.051) and rehospitalization (8.5% vs 3.1%, p = 0.001), but fewer , 8% vs. 34.9%, p <0.001) than non-diabetics. Diabetics and non- diabetics had a similar mortality rate (13.4% vs 10.2%, p = 0.160). Conclusion: Despite the peculiarities of diabetics, the higher frequency of unfavorable outcomes and a significantly higher re-hospitalization rate; diabetics and non-diabetics had a similar mortality rate.