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DC Field | Value | Language |
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dc.contributor.author | Díez-Villanueva, Pablo | - |
dc.contributor.author | García Acuña, José María | - |
dc.contributor.author | Raposeiras Roubin, Sergio | - |
dc.contributor.author | Barrabés, José A. | - |
dc.contributor.author | Cordero, Alberto | - |
dc.contributor.author | Martínez-Sellés, Manuel | - |
dc.contributor.author | Bardají, Alfredo | - |
dc.contributor.author | Marín, Francisco | - |
dc.contributor.author | Ruiz-Nodar, Juan M. | - |
dc.contributor.author | Vicente-Ibarra, Nuria | - |
dc.contributor.author | Alonso Salinas, Gonzalo Luis | - |
dc.contributor.author | Cid-Alvárez, Belén | - |
dc.contributor.author | Abu-Assi, Emad | - |
dc.contributor.author | Formiga Pérez, Francesc | - |
dc.contributor.author | Núñez, Julio | - |
dc.contributor.author | Núñez, Eduardo | - |
dc.contributor.author | Sanchis Forés, Juan | - |
dc.contributor.author | Ariza Solé, Albert | - |
dc.date.accessioned | 2021-11-09T16:48:10Z | - |
dc.date.available | 2021-11-09T16:48:10Z | - |
dc.date.issued | 2021-09-26 | - |
dc.identifier.issn | 2077-0383 | - |
dc.identifier.uri | http://hdl.handle.net/2445/181130 | - |
dc.description.abstract | Few studies have addressed to date the interaction between sex and diabetes mellitus (DM) in the prognosis of elderly patients with non-ST-segment elevation acute coronary syndrome (NSTEACS). Our aim was to address the role of DM in the prognosis of non-selected elderly patients with NSTEACS according to sex. A retrospective analysis from 11 Spanish NSTEACS registries was conducted, including patients aged ≥70 years. The primary end point was one-year all-cause mortality. A total of 7211 patients were included, 2,770 (38.4%) were women, and 39.9% had DM. Compared with the men, the women were older (79.95 ± 5.75 vs. 78.45 ± 5.43 years, p < 0.001) and more often had a history of hypertension (77% vs. 83.1%, p < 0.01). Anemia and chronic kidney disease were both more common in women. On the other hand, they less frequently had a prior history of arteriosclerotic cardiovascular disease or comorbidities such as peripheral artery disease and chronic pulmonary disease. Women showed a worse clinical profile on admission, though an invasive approach and in-hospital revascularization were both more often performed in men (p < 0.001). At a one-year follow-up, 1090 patients (15%) had died, without a difference between sexes. Male sex was an independent predictor of mortality (HR = 1.15, 95% CI 1.01 to 1.32, p = 0.035), and there was a significant interaction between sex and DM (p = 0.002). DM was strongly associated with mortality in women (HR: 1.45, 95% CI = 1.18-1.78; p < 0.001), but not in men (HR: 0.98, 95% CI = 0.84-1.14; p = 0.787). In conclusion, DM is associated with mortality in older women with NSTEACS, but not in men. | - |
dc.format.extent | 9 p. | - |
dc.format.mimetype | application/pdf | - |
dc.language.iso | eng | - |
dc.publisher | MDPI | - |
dc.relation.isformatof | Reproducció del document publicat a: https://doi.org/10.3390/jcm10194403 | - |
dc.relation.ispartof | Journal of Clinical Medicine, 2021, vol. 10, num. 19, p. 4403 | - |
dc.relation.uri | https://doi.org/10.3390/jcm10194403 | - |
dc.rights | cc-by (c) Díez-Villanueva, Pablo et al., 2021 | - |
dc.rights.uri | https://creativecommons.org/licenses/by/4.0/ | - |
dc.source | Articles publicats en revistes (Ciències Clíniques) | - |
dc.subject.classification | Diabetis | - |
dc.subject.classification | Dones | - |
dc.subject.classification | Malalties coronàries | - |
dc.subject.other | Diabetes | - |
dc.subject.other | Women | - |
dc.subject.other | Coronary diseases | - |
dc.title | Prognosis impact of diabetes in elderly women and men with non-ST elevation acute coronary syndrome | - |
dc.type | info:eu-repo/semantics/article | - |
dc.type | info:eu-repo/semantics/publishedVersion | - |
dc.identifier.idgrec | 714460 | - |
dc.date.updated | 2021-11-09T16:48:10Z | - |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | - |
dc.identifier.pmid | 34640420 | - |
Appears in Collections: | Articles publicats en revistes (Ciències Clíniques) Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL)) |
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714460.pdf | 630.07 kB | Adobe PDF | View/Open |
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