LAUSR.org creates dashboard-style pages of related content for over 1.5 million academic articles. Sign Up to like articles & get recommendations!

Social deprivation index and ischemic events after percutaneous coronary intervention in patients with diabetes mellitus

Photo from wikipedia

The aim of this study was to assess neighborhood‐based differences in outcomes of diabetics versus non‐diabetics undergoing percutaneous coronary interventions. Disparities in healthcare access impact long‐term outcomes in safety net… Click to show full abstract

The aim of this study was to assess neighborhood‐based differences in outcomes of diabetics versus non‐diabetics undergoing percutaneous coronary interventions. Disparities in healthcare access impact long‐term outcomes in safety net populations. Diabetes mellitus (DM) is associated with worse clinical outcomes in patients with coronary artery disease (CAD) and may disproportionately impact patients with CAD from underserved populations. We created a geocoded retrospective cohort of patients who underwent percutaneous coronary intervention (PCI) at an urban safety net hospital in this single‐center cohort analysis. We evaluated long‐term ischemic events in diabetics versus nondiabetics through review of electronic medical records. Social deprivation index (SDI) was calculated based on US‐census tract level and stratified according to quintiles. Among 1002 patients, 46% (n = 463) were diabetic and among those 48% (n = 222) were in the highest quintile of SDI. Baseline and angiographic characteristics were similar among diabetic and nondiabetic subjects. Among diabetic patients, those in the highest SDI quintile had significantly higher risk of cardiovascular death and myocardial infarction as compared to those in the remaining quintiles (log rank: p = 0.029) (adjusted hazard's ratio: 1.72 [95% CI: 1.01–2.92], p = 0.04). There was no association of the SDI with outcomes in nondiabetic patients (log rank: p = 0.39). In an underserved population, patients with diabetes and high SDI demonstrate higher rates of adverse ischemic events and cardiovascular death during long‐term follow up after PCI. Further research examining the impact of disparities in healthcare access on outcomes after PCI in patients with diabetes is warranted.

Keywords: percutaneous coronary; coronary intervention; diabetes mellitus; sdi; patients diabetes; ischemic events

Journal Title: Catheterization and Cardiovascular Interventions
Year Published: 2022

Link to full text (if available)


Share on Social Media:                               Sign Up to like & get
recommendations!

Related content

More Information              News              Social Media              Video              Recommended



                Click one of the above tabs to view related content.