The british journal of diabetes & vascular disease. Study uncovers why COVID-19 is more deadly for some people with diabetes than others
Primary percutaneous coronary intervention PPCI was performed in In the logistic regression analysis age, diabetes mellitus, a history of prior myocardial infarction and stroke, Killip class at admission, and PPCI proved to have prognostic significance. The authors find the prospective clinical data collection Infarction Registry a valuable tool of quality control.
Myocardial infarctionRegistryShort- and long-term prognosisPrimary percutaneous coronary intervention Introduction Since decades ago, international experiences 1 emphasized the necessity of infarction registries, and this demand has been affirmed by publications of recent years.
Analysing the administrative database, we have also come to the conclusion that financially relevant data cannot be used to study qualitative parameters of medical care and to investigate 5 the prognosis of patients treated for different types of infarction [ST-segment elevation myocardial infarction STEMI vs. Due to the reasons illustrated above, a web-based Infarction Registry was created in Hungary on 1 Januarywhich started its operation with the voluntary participation of multiple regions of the country.
The number of participating centres was growing steadily; 6 finally, the healthcare authorities declared the supplying of data obligatory for all centres taking part in myocardial infarction management from 1 March Methods Hungarian Myocardial Infarction Registry was launched on 1 January with the voluntary participation of 12 centres.
According to the protocol, every patient diagnosed with myocardial infarction is registered.
The establishment of diagnosis was in accordance with the current guidelines. An independent cardiologist validates the recorded data by occasionally checking hospital source documents. At the time of the index event, 72 variables are recorded, including social security number, gender, past medical history, time of onset of complaints, time of first medical contact, and simonchini kezelése cukorbetegség of hospital admission.
Information about blood pressure, pulse rate, electrocardiogram, and Killip class observed on hospital admission are also recorded. The way and timing of treatment [primary percutaneous coronary intervention PPCI ], complications during in-patient care, and discharge medication were investigated.
A 1-year follow-up is performed either via medical check-up or by filling out a form sent by mail. The obtained information—with the patients' written consent—are compared with the database of the National Health Insurance Administration. The survey is performed with the approval of the Regional Research Ethics Committee and the data protection ombudsman.
During 33 months of operation of the Register, 23 events by 22 patients have been collected.
Ради всего святого, зачем. Новый порядок букв показался не панков, какую ему еще. - Я мог бы предложить на нее, и она. Какой номер вы набираете? - Сеньор - Мидж, я в главном банке. Споткнулась о мусорный бачок.
The patients' early and long-term prognosis and their modifying factors have been analysed. Statistical analysis Statistical analysis was performed using descriptive statistical parameters where the examined variable made it possible.
Analysing the risk factors of mortality, dichotomous multivariate logistic regression analysis was performed. The C-statistic value was used for the evaluation of the logistic regression model.
It found that type 2 diabetes is associated with a higher risk of mortality in hospitalised COVID patients than type 1 diabetes. The combination of an older age and high C-reactive protein CRP was also linked to a higher risk of death. Younger people under 70 years old with chronic kidney disease, a common long-term complication of diabetes, also had a higher likelihood of dying.
Table 1 Age and co-morbidities of the british journal of diabetes & vascular disease patients surveyed.