%0 Journal Article
%T Comparison of the Hospital Arrival Time and Differences in Pain Quality between Diabetic and Non-Diabetic STEMI Patients
%A Marina Gradier
%A Dario Dilber
%A Jasna Cmrenjak
%A Branko Ostriki
%A Ines Bili-uri
%J International Journal of Environmental Research and Public Health
%P 1387-1396
%D 2015
%I MDPI AG
%R 10.3390/ijerph120201387
%X 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 (¦Ö 2; p = 0.105). Most diabetic patients described their pain as ¡°slight¡± or ¡°none¡± (¦Ö 2; p < 0.01), while most non-diabetic patients graded their pain as ¡°moderate¡± or ¡°severe¡± (¦Ö 2; p < 0.01). The quality of pain tended to be more distinct in non-diabetic patients, while diabetic patients reported mainly shortness of breath (¦Ö 2; p < 0.01). Diabetic patients were more likely to suffer a multi-vessel disease (¦Ö 2; 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.
%K STEMI
%K diabetes type 2
%K quality of pain
%K time of arrival
%K outcome
%K prognosis
%U http://www.mdpi.com/1660-4601/12/2/1387