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Int. J. Environ. Res. Public Health 2015, 12(2), 1387-1396; doi:10.3390/ijerph120201387

Comparison of the Hospital Arrival Time and Differences in Pain Quality between Diabetic and Non-Diabetic STEMI Patients

1
Department of Endocrinology and Diabetes, County Hospital Čakovec, 40000 Čakovec, Croatia
2
Department of Cardiology, County Hospital Čakovec, 40000 Čakovec, Croatia
3
Clinical Department of Diabetes, Endocrinology and Metabolism Disorders, University Hospital Centre Osijek, 31000 Osijek, Croatia
4
Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, 31000 Osijek, Croatia
*
Author to whom correspondence should be addressed.
Academic Editor: Paul B. Tchounwou
Received: 26 October 2014 / Revised: 16 December 2014 / Accepted: 13 January 2015 / Published: 27 January 2015
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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. View Full-Text
Keywords: STEMI; diabetes type 2; quality of pain; time of arrival; outcome; prognosis STEMI; diabetes type 2; quality of pain; time of arrival; outcome; prognosis
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Gradišer, M.; Dilber, D.; Cmrečnjak, J.; Ostrički, B.; Bilić-Ćurčić, I. Comparison of the Hospital Arrival Time and Differences in Pain Quality between Diabetic and Non-Diabetic STEMI Patients. Int. J. Environ. Res. Public Health 2015, 12, 1387-1396.

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Int. J. Environ. Res. Public Health EISSN 1660-4601 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert
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