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

Marina Gradišer, Dario Dilber, Jasna Cmrečnjak, Branko Ostrički and Ines Bilić-Ćurčić
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Marina Gradišer: Department of Endocrinology and Diabetes, County Hospital Čakovec, 40000 Čakovec, Croatia
Dario Dilber: Department of Cardiology, County Hospital Čakovec, 40000 Čakovec, Croatia
Jasna Cmrečnjak: Department of Cardiology, County Hospital Čakovec, 40000 Čakovec, Croatia
Branko Ostrički: Department of Cardiology, County Hospital Čakovec, 40000 Čakovec, Croatia
Ines Bilić-Ćurčić: Clinical Department of Diabetes, Endocrinology and Metabolism Disorders, University Hospital Centre Osijek, 31000 Osijek, Croatia

IJERPH, 2015, vol. 12, issue 2, 1-10

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 (? 2 ; p = 0.105). Most diabetic patients described their pain as “slight” or “none” (? 2 ; p < 0.01), while most non-diabetic patients graded their pain as “moderate” or “severe” (? 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 (? 2 ; p < 0.01). Diabetic patients were more likely to suffer a multi-vessel disease (? 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.

Keywords: STEMI; diabetes type 2; quality of pain; time of arrival; outcome; prognosis (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2015
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