Diabetes and risk of acute coronary syndrome in callers with chest discomfort: Cross-sectional study in out-of-hours primary care
Main finding · ACSResult — go to the resultOdds ratio 2.17 95% CI 1.47–3.19Authors' conclusion
Diabetes holds promise as diagnostic factor in callers to OHS-PC with chest discomfort. It might help triage in this setting given the increased risk of ACS in those with diabetes.
Study context
- Population
- Callers with acute chest discomfort to out-of-hours primary care (OHS-PC), Utrecht region, the Netherlands, 2014–2017
- Participants
- 2,195 participants
- Exposure
- Diabetes vs no diabetes
- Diabetesn = 180
- Outcome
- ACS; high urgency allocation
Main finding
ACS
Odds ratio
2.17
95% CI 1.47–3.19
Diabetesvs No diabetes
OR 2.17 (95% CI 1.47–3.19)
As reported in the abstract
- Acute coronary syndrome (ACS) in males
- 15.3%
- ACS in males with diabetes
- 22.0%
- ACS in females
- 8.4%
- ACS in females with diabetes
- 18.8%
Observational data: associations, not effects.
Further findings
| Outcome | Diabetes | No diabetes | OR (95% CI) | |
|---|---|---|---|---|
| High urgency allocation | 74.4% | 67.8% | 1.38 (0.98–1.96) | |
| 0.512Odds ratio (log scale) |
Original publication
Diabetes and risk of acute coronary syndrome in callers with chest discomfort: Cross-sectional study in out-of-hours primary care. Diabetes Res Clin Pract. Published 30 April 2024. doi:10.
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