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Table 3 In-hospital management of ACS patients with diabetes/possible diabetes

From: Prevalence and in-hospital outcomes of diabetes among patients with acute coronary syndrome in China: findings from the Improving Care for Cardiovascular Disease in China-Acute Coronary Syndrome Project

 

STEMI

NSTE-ACS

Diabetes/possible diabetes (N = 14,650)

No diabetes (N = 25,143)

p value

Diabetes/possible diabetes (N = 9230)

No diabetes (N = 14,427)

p value

DAPT, % (n/N)

95.4 (13,911/14,577)

95.5 (23,915/25,037)

0.686

89.4 (8130/9098)

90.0 (12,827/14,250)

0.108

 Aspirin, % (n/N)

96.3 (14,032/14,579)

96.5 (24,163/25,038)

0.184

93.1 (8469/9100)

93.6 (13,343/14,253)

0.099

 P2Y12 inhibitors, % (n/N)

96.9 (14,194/14,643)

96.7 (24,295/25,135)

0.134

92.7 (8534/9211)

92.9 (13,394/14,411)

0.395

GPIIb/IIIa, % (n/N)

39.8 (5816/14,625)

38.4 (9651/25,112)

0.008

17.5 (1612/9196)

17.3 (2494/14,406)

0.668

Anticoagulant, % (n/N)

79.4 (11,632/14,643)

79.2 (19,912/25,135)

0.606

68.1 (6273/9211)

67.1 (9668/14,411)

0.104

 UFH

5.3 (768/14,623)

4.5 (1121/25,097)

< 0.001

2.0 (185/9171)

1.9 (271/14,379)

0.472

 LMWH

73.0 (10,676/14,623)

73.7 (18,490/25,097)

0.147

62.8 (5760/9171)

62.4 (8969/14,379)

0.505

 Fondaparinux sodium

1.3 (186/14,623)

1.0 (262/25,097)

0.038

2.2 (201/9171)

1.6 (232/14,379)

0.001

 Other anticoagulants

1.9 (280/14,623)

2.0 (512/25,097)

0.389

2.0 (185/9171)

2.0 (280/14,379)

0.707

Statins, % (n/N)

94.1(37,382/39,735)

94.0 (13,748/14,628)

0.544

92.9 (8562/9212)

93.4 (13,459/14,408)

0.161

Beta-blockers, % (n/N)

64.3 (2917/4536)

62.5 (4998/7997)

0.044

67.6 (2046/3028)

66.4 (3431/5164)

0.295

ACEI/ARB, % (n/N)

49.8 (6687/13,427)

48.4 (11,151/23,030)

0.011

54.0 (4643/8606)

48.8 (6535/13,396)

< 0.001

PCI, % (n/N)

77.1 (11,289/14,650)

77.5 (19,484/25,143)

< 0.001

58.2 (5367/9230)

61.1 (8810/14,427)

0.006

 Time of PCIa, % (n/N) (h)

  

< 0.001

  

0.006

  < 2

55.2 (8574/15,526)

57.4 (5220/9100)

 

10.0 (734/7341)

8.9 (388/4383)

 

  2–11.9

10.2 (1577/15,526)

11.5 (1046/9100)

 

10.0 (731/7341)

10.8 (474/4383)

 

  12–23.9

3.2 (493/15,526)

3.4 (313/9100)

 

7.8 (572/7341)

7.2 (314/4383)

 

  24–71.9

9.8 (1524/15,526)

8.9 (809/9100)

 

31.2 (2293/7341)

29.5 (1294/4383)

 

  ≥ 72

21.6 (3358/15,526)

18.8 (1712/9100)

 

41.0 (3011/7341)

43.7 (1913/4383)

 

 Type of stentsb, % (n/N)

  

0.010

  

0.088

  Drug eluting stent

98.1 (9827/10,017)

98.1 (16,825/17,145)

 

96.9 (4317/4456)

96.7 (6997/7235)

 

  Bare metal stent

1.0 (101/10,017)

1.2 (213/17,145)

 

1.8 (82/4456)

1.6 (113/7235)

 

  Other

0.9 (89/10,017)

0.6 (107/17,145)

 

1.3 (57/4456)

1.7 (125/7235)

 

CABG, % (n/N)

0.5 (46/10,121)

0.5 (94/17,328)

0.324

0.7 (33/4670)

0.7 (51/7583)

0.824

Length of stay, median (IQR), day

10.0 (7.0–13.0)

10.0 (7.0–13.0)

< 0.001

10.0 (7.0–13.0)

9.0 (7.0–12.0)

< 0.001

  1. STEMI ST-segment elevation myocardial infarction, NSTE-ACS non-ST-segment elevation acute coronary syndrome, DAPT dual antiplatelet therapy, UFH unfractionated heparin, LMWH low molecular weight heparin, PCI percutaneous coronary intervention, CABG coronary artery bypass grafting
  2. The usage rate of drugs was calculated in patients without drug contraindications
  3. a Time of PCI, time from admission to PCI, and detailed data of time of PCI were not available for 8600 patients with PCI
  4. b Type of stents and type of PCI were not available for 849 patients with stent implantation