دورية أكاديمية
Influence on prognosis and prevalence of stress hyperglycemia in a cohort of patients with acute coronary syndrome.
| العنوان: | Influence on prognosis and prevalence of stress hyperglycemia in a cohort of patients with acute coronary syndrome. |
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| المؤلفون: | Modenesi Rde F; Universidade Federal Fluminense - UFF -Niterói (RJ), Brazil., Pena FM, Faria CA, Carvalho RV, Souza NR, Soares Jda S, Mesquita ET |
| المصدر: | Revista Brasileira de terapia intensiva [Rev Bras Ter Intensiva] 2012 Dec; Vol. 24 (4), pp. 352-6. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Associação de Medicina Intensiva Brasileira Country of Publication: Brazil NLM ID: 9506692 Publication Model: Print Cited Medium: Internet ISSN: 1982-4335 (Electronic) Linking ISSN: 0103507X NLM ISO Abbreviation: Rev Bras Ter Intensiva Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Original Publication: [Rio de Janeiro] : Associação de Medicina Intensiva Brasileira, |
| مستخلص: | Objective: To demonstrate the prevalence of stress hyperglycemia in a cohort of patients with acute coronary syndrome and to determine the correlation of stress hyperglycemia with death, heart failure and/or left ventricular systolic dysfunction during the intrahospital phase. Methods: A prospective initial cohort study of hospitalized patients with acute coronary syndrome with or without ST segment elevation. The groups were compared to demonstrate the correlation between stress hyperglycemia and cardiovascular events. The chi-square test or Fisher's exact test and student's t-test were used to compare the groups with and without stress hyperglycemia. The variables with p<0.20 in the univariate analysis were submitted to logistic regression. Results: In total, 363 patients with an average age of 12.45 ± 62.06 were studied. There was a predominance of males (64.2%). In total, 96 patients (26.4%) presented with stress hyperglycemia. There were no differences between the groups with or without stress hyperglycemia. The area under the ROC curve was 0.67 for the relationship between stress hyperglycemia and the composite outcome heart failure, left ventricular systolic dysfunction or death at the end of the hospital admission. The ROC curve proved that stress hyperglycemia was the predictor of the composite outcome (death, heart failure and/or ventricular dysfunction). The multivariate analysis did not indicate age, stress hyperglycemia or admission heart rate as risk factors. Conclusion: Stress hyperglycemia was common in the studied sample. In the univariate analysis, the presence of stress hyperglycemia was associated with such events as death, heart failure and/or intrahospital ventricular dysfunction in patients with acute coronary syndrome. |
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| تواريخ الأحداث: | Date Created: 20130807 Date Completed: 20131018 Latest Revision: 20211021 |
| رمز التحديث: | 20231215 |
| مُعرف محوري في PubMed: | PMC4031813 |
| DOI: | 10.1590/s0103-507x2012000400010 |
| PMID: | 23917932 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1982-4335 |
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| DOI: | 10.1590/s0103-507x2012000400010 |