title: Comparison of the hospital arrival time and differences in pain quality between diabetic and non-diabetic STEMI patients.
abstract: 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.
authors: Department of Endocrinology and Diabetes, County Hospital Čakovec, 40000 Čakovec, Croatia. gradiser007@yahoo.com.
authors: Marina
authors: M
authors: Gradišer
authors: Department of Cardiology, County Hospital Čakovec, 40000 Čakovec, Croatia. dario.dilber@gmail.com.
authors: Dario
authors: D
authors: Dilber
authors: Department of Cardiology, County Hospital Čakovec, 40000 Čakovec, Croatia. jcmrec@gmail.com.
authors: Jasna
authors: J
authors: Cmrečnjak
authors: Department of Cardiology, County Hospital Čakovec, 40000 Čakovec, Croatia. branko.ostricki@vz.t-com.hr.
authors: Branko
authors: B
authors: Ostrički
authors: Clinical Department of Diabetes, Endocrinology and Metabolism Disorders, University Hospital Centre Osijek, 31000 Osijek, Croatia. ibcurcic@mefos.hr.
authors: Ines
authors: I
authors: Bilić-Ćurčić
mesh_terms: D015906:Angioplasty, Balloon, Coronary; D003920:Diabetes Mellitus; D004632:Emergency Medical Services; D004636:Emergency Service, Hospital; D005260:Female; D006761:Hospitals; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000473:pathology*; D010146:Pain / Q000209:etiology*; D010147:Pain Measurement / Q000379:methods*; D013997:Time Factors; D014186:Transportation
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