Optimisation of care among patients with diabetes mellitus and acute coronary syndrome through a specialised cardiodiabetes service—A registry study
Authors' conclusion
The introduction of a joint-speciality cardiodiabetes service improved the care and survival of patients with acute coronary syndrome and diabetes mellitus.
Study context
- Population
- Patients with acute coronary syndrome and DM presenting to a regional heart centre
- Participants
- 362 vs 711
- Exposure
- Post-intervention vs pre-intervention
- Post-interventionn = 362
- Pre-interventionn = 711reference
- Outcome
- Proportion of patients with a valid HbA1c during admission; initiation of guideline-recommended glucose- and lipid-lowering therapies
Methodological detailsobservational, before-and-after implementation, regional heart centre
- Observational
- Before-and-after implementation
- Regional heart centre
Main finding
As reported in the abstract
Valid HbA1c measurement at baseline · median follow-up 29.7 months
P = 0.043
Observational data: associations, not effects.
Further findings
Prescribed SGLT2 inhibitors
events/100 patient-years
| Outcome | Post-intervention | Pre-intervention | RR (95% CI) | P value | |
|---|---|---|---|---|---|
| All-cause mortality | 5.2 | 12.3 | 0.42 (0.28–0.61) | P < 0.001 | |
| 0.20.5125Relative risk (log scale) |
Safety
| Outcome | Post-intervention | Pre-intervention | RR (CI) | P value | |
|---|---|---|---|---|---|
| First events of acute kidney injury | 10.0 | 13.0 | 0.77 (0.57–1.03) | P = 0.090 | |
| All events of acute kidney injury | 16.6 | 22.1 | 0.75 (0.60–0.94) | P = 0.015 | |
| 0.512Relative risk (log scale) |
Original publication
Optimisation of care among patients with diabetes mellitus and acute coronary syndrome through a specialised cardiodiabetes service—A registry study. Diabet Med. Published 2 April 2025. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →