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

Table 4 Association between diabetes/possible diabetes and in-hospital outcomes

	All ACS				STEMI				NSTE-ACS
	Unadjusted OR (95% CI)	p value	Adjusted OR (95% CI)	p value	Unadjusted OR (95% CI)	p value	Adjusted OR (95% CI)	p value	Unadjusted OR (95% CI)	p value	Adjusted OR (95% CI)	p value
The whole study population
All-cause death^a	2.49 (2.22–2.80)	< 0.001	2.04 (1.78–2.33)	< 0.001	2.45 (2.14–2.80)	< 0.001	2.07 (1.76–2.43)	< 0.001	2.76 (2.19–3.47)	< 0.001	1.93 (1.48–2.51)	< 0.001
MACCE^b	1.98 (1.80–2.18)	< 0.001	1.54 (1.39–1.72)	< 0.001	2.03 (1.81–2.27)	< 0.001	1.66 (1.46–1.89)	< 0.001	1.92 (1.60–2.29)	< 0.001	1.30 (1.06–1.58)	0.010
Propensity score-matched population
All-cause death	2.08 (1.74–2.47)	< 0.0001	2.21 (1.83–2.66)	< 0.001	2.18 (1.77–2.69)	< 0.001	2.34 (1.87–2.92)	< 0.001	1.85 (1.34–2.54)	< 0.001	1.96 (1.39–2.77)	< 0.001
MACCE	1.55 (1.36–1.77)	< 0.001	1.58 (1.38–1.82)	< 0.001	1.65 (1.4–1.94)	< 0.001	1.73 (1.46–2.05)	< 0.001	1.35 (1.06–1.71)	0.015	1.31 (1.02–1.69)	0.033

ACS acute coronary syndrome, STEMI ST-segment elevation myocardial infarction, NSTE-ACS non-ST-segment elevation acute coronary syndrome, MACCE major adverse cardiovascular and cerebrovascular events, OR odds ratio
^a After forward stepwise selection, the adjusted variables for all-cause death finally included age, sex, SBP, heart rate, heart failure history, cerebrovascular disease history, Killip class at admission, cardiac arrest at admission, eGFR, in-hospital treatment of statins, β-blockers, ACEIs/ARBs, PCI, fivefold elevated myocardial injury markers, type of ACS, and whether patients were transferred from another hospital before the current hospitalization
^b After forward stepwise selection, the adjusted variables for MACCE finally included age, sex, smoking, SBP, heart rate, heart failure history, renal failure history, cerebrovascular disease history, Killip class at admission, cardiac arrest at admission, eGFR, in-hospital treatment with dual anti-platelet therapy, statins, ACEIs/ARBs, PCI, fivefold elevated myocardial injury markers, type of ACS, and whether patients were transferred from another hospital before the current hospitalization

ISSN: 1475-2840