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Admission Hyperglycemia as a Predictor of Mortality in Acute Heart Failure: Comparison between the Diabetics and Non-Diabetics

Background: To investigate the impact of admission hyperglycemia (HGL) on in-hospital death (IHD) and 1-year mortality in acute heart failure (AHF) patients with or without diabetes mellitus (DM). Methods: Among 5625 AHF patients enrolled in a nationwide registry, 5541 patients were divided into fou...

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Autores principales: Cho, Jae Yeong, Kim, Kye Hun, Lee, Sang Eun, Cho, Hyun-Jai, Lee, Hae-Young, Choi, Jin-Oh, Jeon, Eun-Seok, Kim, Min-Seok, Kim, Jae-Joong, Hwang, Kyung-Kuk, Chae, Shung Chull, Baek, Sang Hong, Kang, Seok-Min, Choi, Dong-Ju, Yoo, Byung-Su, Ahn, Youngkeun, Park, Hyun-Young, Cho, Myeong-Chan, Oh, Byung-Hee
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7019900/
https://www.ncbi.nlm.nih.gov/pubmed/31935874
http://dx.doi.org/10.3390/jcm9010149
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author Cho, Jae Yeong
Kim, Kye Hun
Lee, Sang Eun
Cho, Hyun-Jai
Lee, Hae-Young
Choi, Jin-Oh
Jeon, Eun-Seok
Kim, Min-Seok
Kim, Jae-Joong
Hwang, Kyung-Kuk
Chae, Shung Chull
Baek, Sang Hong
Kang, Seok-Min
Choi, Dong-Ju
Yoo, Byung-Su
Ahn, Youngkeun
Park, Hyun-Young
Cho, Myeong-Chan
Oh, Byung-Hee
author_facet Cho, Jae Yeong
Kim, Kye Hun
Lee, Sang Eun
Cho, Hyun-Jai
Lee, Hae-Young
Choi, Jin-Oh
Jeon, Eun-Seok
Kim, Min-Seok
Kim, Jae-Joong
Hwang, Kyung-Kuk
Chae, Shung Chull
Baek, Sang Hong
Kang, Seok-Min
Choi, Dong-Ju
Yoo, Byung-Su
Ahn, Youngkeun
Park, Hyun-Young
Cho, Myeong-Chan
Oh, Byung-Hee
author_sort Cho, Jae Yeong
collection PubMed
description Background: To investigate the impact of admission hyperglycemia (HGL) on in-hospital death (IHD) and 1-year mortality in acute heart failure (AHF) patients with or without diabetes mellitus (DM). Methods: Among 5625 AHF patients enrolled in a nationwide registry, 5541 patients were divided into four groups based on the presence of admission HGL and diabetes mellitus (DM). Admission HGL was defined as admission glucose level > 200 mg/dL. IHD and 1-year mortality were compared. Results: IHD developed in 269 patients (4.9%), and 1-year death developed in 1220 patients (22.2%). DM was a significant predictor of 1-year death (24.8% in DM vs. 20.5% in non-DM, p < 0.001), but not for IHD. Interestingly, admission HGL was a significant predictor of both IHD (7.6% vs. 4.2%, p < 0.001) and 1-year death (26.2% vs. 21.3%, p = 0.001). Admission HGL was a significant predictor of IHD in both DM and non-DM group, whereas admission HGL was a significant predictor of 1-year death only in non-DM (27.8% vs. 19.9%, p = 0.003), but not in DM group. In multivariate analysis, admission HGL was an independent predictor of 1-year mortality in non-DM patients (HR 1.32, 95% CI 1.03–1.69, p = 0.030). Conclusion: Admission HGL was a significant predictor of IHD and 1-year death in patients with AHF, whereas DM was only a predictor of 1-year death. Admission HGL was an independent predictor of 1-year mortality in non-DM patients with AHF, but not in DM patients. Careful monitoring and intensive medical therapy should be considered in AHF patients with admission HGL, regardless of DM.
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spelling pubmed-70199002020-03-09 Admission Hyperglycemia as a Predictor of Mortality in Acute Heart Failure: Comparison between the Diabetics and Non-Diabetics Cho, Jae Yeong Kim, Kye Hun Lee, Sang Eun Cho, Hyun-Jai Lee, Hae-Young Choi, Jin-Oh Jeon, Eun-Seok Kim, Min-Seok Kim, Jae-Joong Hwang, Kyung-Kuk Chae, Shung Chull Baek, Sang Hong Kang, Seok-Min Choi, Dong-Ju Yoo, Byung-Su Ahn, Youngkeun Park, Hyun-Young Cho, Myeong-Chan Oh, Byung-Hee J Clin Med Article Background: To investigate the impact of admission hyperglycemia (HGL) on in-hospital death (IHD) and 1-year mortality in acute heart failure (AHF) patients with or without diabetes mellitus (DM). Methods: Among 5625 AHF patients enrolled in a nationwide registry, 5541 patients were divided into four groups based on the presence of admission HGL and diabetes mellitus (DM). Admission HGL was defined as admission glucose level > 200 mg/dL. IHD and 1-year mortality were compared. Results: IHD developed in 269 patients (4.9%), and 1-year death developed in 1220 patients (22.2%). DM was a significant predictor of 1-year death (24.8% in DM vs. 20.5% in non-DM, p < 0.001), but not for IHD. Interestingly, admission HGL was a significant predictor of both IHD (7.6% vs. 4.2%, p < 0.001) and 1-year death (26.2% vs. 21.3%, p = 0.001). Admission HGL was a significant predictor of IHD in both DM and non-DM group, whereas admission HGL was a significant predictor of 1-year death only in non-DM (27.8% vs. 19.9%, p = 0.003), but not in DM group. In multivariate analysis, admission HGL was an independent predictor of 1-year mortality in non-DM patients (HR 1.32, 95% CI 1.03–1.69, p = 0.030). Conclusion: Admission HGL was a significant predictor of IHD and 1-year death in patients with AHF, whereas DM was only a predictor of 1-year death. Admission HGL was an independent predictor of 1-year mortality in non-DM patients with AHF, but not in DM patients. Careful monitoring and intensive medical therapy should be considered in AHF patients with admission HGL, regardless of DM. MDPI 2020-01-06 /pmc/articles/PMC7019900/ /pubmed/31935874 http://dx.doi.org/10.3390/jcm9010149 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Cho, Jae Yeong
Kim, Kye Hun
Lee, Sang Eun
Cho, Hyun-Jai
Lee, Hae-Young
Choi, Jin-Oh
Jeon, Eun-Seok
Kim, Min-Seok
Kim, Jae-Joong
Hwang, Kyung-Kuk
Chae, Shung Chull
Baek, Sang Hong
Kang, Seok-Min
Choi, Dong-Ju
Yoo, Byung-Su
Ahn, Youngkeun
Park, Hyun-Young
Cho, Myeong-Chan
Oh, Byung-Hee
Admission Hyperglycemia as a Predictor of Mortality in Acute Heart Failure: Comparison between the Diabetics and Non-Diabetics
title Admission Hyperglycemia as a Predictor of Mortality in Acute Heart Failure: Comparison between the Diabetics and Non-Diabetics
title_full Admission Hyperglycemia as a Predictor of Mortality in Acute Heart Failure: Comparison between the Diabetics and Non-Diabetics
title_fullStr Admission Hyperglycemia as a Predictor of Mortality in Acute Heart Failure: Comparison between the Diabetics and Non-Diabetics
title_full_unstemmed Admission Hyperglycemia as a Predictor of Mortality in Acute Heart Failure: Comparison between the Diabetics and Non-Diabetics
title_short Admission Hyperglycemia as a Predictor of Mortality in Acute Heart Failure: Comparison between the Diabetics and Non-Diabetics
title_sort admission hyperglycemia as a predictor of mortality in acute heart failure: comparison between the diabetics and non-diabetics
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7019900/
https://www.ncbi.nlm.nih.gov/pubmed/31935874
http://dx.doi.org/10.3390/jcm9010149
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