Association of quality of care and long-term mortality risk for individuals presenting with ST-segment myocardial infarction (STEMI) by diabetes mellitus status: A nationwide cohort study
Main finding · Adjusted all-cause mortalityResult — go to the resultHazard ratio 1.54 CI 1.52–1.57Authors' conclusion
Individuals with diabetes have a higher risk of long-term mortality after STEMI. They experience delays in angiography and receive lower quality inpatient care.
Study context
- Population
- Adults hospitalised with STEMI, UK Myocardial Ischaemia National Audit Project (MINAP) registry, 2005–2019
- Participants
- 283,658 adults
- Exposure
- Diabetes vs no diabetes
- Outcome
- Adjusted all-cause mortality
- Follow-up
- Up to 10 years
Methodological detailsregistry-based (MINAP), linked with Office of National Statistics mortality data
- Registry-based (MINAP)
- Linked with Office of National Statistics mortality data
Main finding
As reported in the abstract
Hazard ratio
1.54
CI 1.52–1.57
Diabetesvs No diabetes
HR 1.54 (CI 1.52–1.57)
Observational data: associations, not effects.
Further findings
| Outcome | HR (CI) | |
|---|---|---|
| Adjusted all-cause mortality · 30 days | 1.49 (1.44–1.54) | |
| 0.512Hazard ratio (log scale) |
Percutaneous coronary intervention
Door-to-balloon time < 60 min
Door-to-balloon time < 120 min
| Outcome | Diabetes | No diabetes |
|---|---|---|
| Median age | 68.7 | 65.5 |
| Mortality with excellent vs other inpatient care (OBQI), by diabetes status | ||
| HR | 0.56 (CI 0.50-0.64) | 0.62 (CI 0.58-0.67) |
Original publication
Association of quality of care and long-term mortality risk for individuals presenting with ST-segment myocardial infarction (STEMI) by diabetes mellitus status: A nationwide cohort study. Diabetes Res Clin Pract. Published 8 March 2025. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →