Increased risk of adverse cardiovascular events by strict glycemic control after percutaneous coronary intervention (HbA1c &lt; 6.5% at 2 years) in type 2 diabetes mellitus combined with acute coronary syndrome: a 5-years follow-up study

Yang, Tiangui; Fu, Peng; Chen, Jie; Fu, Xi; Xu, Changlu; Liu, Xiaoxia; Niu, Tiesheng

doi:10.1080/03007995.2021.1947219

Cited by 6 publications

(3 citation statements)

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“…A Korean study also found that patients in the lowest and highest HbA1c groups had a higher risk of poor functional outcomes after EVT than those in the middle groups ( 10 ). Similar J-shaped or U-shaped relationships have been observed in patients with acute myocardial infarction undergoing percutaneous coronary intervention, where both low HbA1c and high HbA1c were associated with an increased risk of major adverse cardiovascular events and mortality ( 35 , 36 ). These observations may be attributed to the negative effect of hypoglycemia in patients with low HbA1c due to excessive glycemic control.…”

Section: Discussionsupporting

confidence: 57%

Associations of diabetes status and glucose measures with outcomes after endovascular therapy in patients with acute ischemic stroke: an analysis of the nationwide TREAT-AIS registry

Hsieh,

Yang

et al. 2024

Front. Neurol.

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BackgroundHyperglycemia affects the outcomes of endovascular therapy (EVT) for acute ischemic stroke (AIS). This study compares the predictive ability of diabetes status and glucose measures on EVT outcomes using nationwide registry data.MethodsThe study included 1,097 AIS patients who underwent EVT from the Taiwan Registry of Endovascular Thrombectomy for Acute Ischemic Stroke. The variables analyzed included diabetes status, admission glucose, glycated hemoglobin (HbA1c), admission glucose-to-HbA1c ratio (GAR), and outcomes such as 90-day poor functional outcome (modified Rankin Scale score ≥ 2) and symptomatic intracranial hemorrhage (SICH). Multivariable analyses investigated the independent effects of diabetes status and glucose measures on outcomes. A receiver operating characteristic (ROC) analysis was performed to compare their predictive abilities.ResultsThe multivariable analysis showed that individuals with known diabetes had a higher likelihood of poor functional outcomes (odds ratios [ORs] 2.10 to 2.58) and SICH (ORs 3.28 to 4.30) compared to those without diabetes. Higher quartiles of admission glucose and GAR were associated with poor functional outcomes and SICH. Higher quartiles of HbA1c were significantly associated with poor functional outcomes. However, patients in the second HbA1c quartile (5.6–5.8%) showed a non-significant tendency toward good functional outcomes compared to those in the lowest quartile (<5.6%). The ROC analysis indicated that diabetes status and admission glucose had higher predictive abilities for poor functional outcomes, while admission glucose and GAR were better predictors for SICH.ConclusionIn AIS patients undergoing EVT, diabetes status, admission glucose, and GAR were associated with 90-day poor functional outcomes and SICH. Admission glucose was likely the most suitable glucose measure for predicting outcomes after EVT.

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Section: Discussionsupporting

confidence: 57%

Associations of diabetes status and glucose measures with outcomes after endovascular therapy in patients with acute ischemic stroke: an analysis of the nationwide TREAT-AIS registry

Hsieh,

Yang

et al. 2024

Front. Neurol.

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“…In 2014, Ji et al reported that the application of AIDET communication model to patients undergoing gastrointestinal surgery not only improved patient compliance and satisfaction in a short period of time but also improved the efficiency of communication between nurses and patients and maximized the efficiency of communication [ 34 ]. Through AIDET communication mode, a harmonious a5nd trusting nurse-patient relationship can be gradually established [ 35 ]. AIDET communication mode is also successfully used in maternal care (giving psychological support to parturients).…”

Section: Discussionmentioning

confidence: 99%

A Cohort Study of the Effects of Integrated Medical and Nursing Rounds Combined with AIDET Communication Mode on Recovery and Quality of Life in Patients Undergoing Percutaneous Coronary Intervention

Yin

et al. 2022

Computational and Mathematical Methods in Medicine

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Objective. To explore the influence of the communication mode of “Acknowledge, Introduce, Duration, Explanation, and Thanks (AIDET)” on the postoperative recovery and quality of life of patients undergoing percutaneous coronary intervention. Methods. Sixty patients with percutaneous coronary intervention in our hospital from April 2019 to April 2021 were selected. The patients were randomly divided into a control group ( n = 30 ) and research group ( n = 30 ). The control group received integrated medical and nursing rounds, and the research group received integrated medical and nursing rounds combined with AIDET communication mode. The scores of nursing satisfaction, cardiac function, self-nursing ability, short-term prognosis, and quality of life were compared between the two groups. Results. In the comparison of nursing satisfaction between the two groups, the satisfaction of the research group was low in 1 case, moderate in 6 cases, and high in 27 cases, with a satisfaction rate of 96.67%. In the control group, there were 7 cases with low satisfaction, 10 cases with moderate satisfaction, and 13 cases with high satisfaction, with a satisfaction rate of 76.67%. The nursing satisfaction of the research group was higher than that of the control group, and the difference was statistically significant, and the difference was statistically significant ( P < 0.05 ). After intervention, the cardiac function of the two groups was improved. The LVEF and LVESVI of the research group were higher than those of the control group, while the WMSI of the research group was lower than that of the control group ( P < 0.05 ). In the comparison of self-nursing ability, the self-nursing maintenance, self-nursing management, self-nursing confidence, and total score of self-nursing in the research group were significantly higher than those in the control group, and the difference was statistically significant ( P < 0.05 ). The incidence rates of acute myocardial infarction (AMI), revascularization, arrhythmia, heart failure, cardiogenic shock, and cardiac death in the research group were obviously lower than those in the control group, and the difference was statistically significant ( P < 0.05 ). After intervention, the scores of quality of life of the two groups decreased, and the scores of physiological function, psychological function, social function, and health self-cognition in the research group were lower than those in the control group ( P < 0.05 ). Conclusion. Medical and nursing integrated ward rounds combined with AIDET communication mode can effectively improve the prognosis of patients undergoing percutaneous coronary intervention to promote the establishment of a harmonious nurse-patient relationship. The patients’ self-care ability is able to be effectively enhanced.

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“…Le diabète amplifie à lui seul le processus athéromateux en engendrant une dysfonction endothéliale et en accentuant les réactions inflammatoires intervenant dans l'athérosclérose [22] [2,3,29,30,31]. L'effet péjoratif du diabète persiste en analyse multivariée, après élimination des facteurs confondants, on a constaté que le diabète en général était un facteur indépendant de survenue d'ECVM à 5 ans et le diabète ancien de plus de 10 ans était un marqueur indépendant de la mortalité cardiovasculaire à 5 ans (tableau 3 et 4) et cela est corroboré aussi par l'analyse des courbes de survie où la survie du sous-groupe des patients avec un diabète de plus de 10 ans et significativement moindre par rapport aussi bien des patients non diabétiques que du sousgroupe des patients avec un diabète connu depuis moins de 10 ans (figure 3).…”

Section: 1caractéristiquesunclassified

Les facteurs prédictifs de thrombose au cours de la procédure d’autogreffe de cellules souches au cours du myélome multiple (MM): Expérience de l’EHU Oran.

Boukerche

Hammou

Laredj

2022

jfmo

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Introduction : Le risque de thromboses au cours des cancers est environ de 7% et est plus élevé au cours du MM. L’objectif de notre travail est d’évaluer l’incidence de la thrombose, mais également d’en rechercher les facteurs prédictifs au cours de la procédure d’autogreffe des cellules souches hématopoïétiques au cours de la vraie vie. Matériels et méthodes : Il s’agit d’une étude rétrospective (Mai 2009-31 Décembre 2019). Le diagnostic de thrombose est posé devant des signes et des symptômes cliniques de thrombose et confirmé par un écho doppler du site de localisation concerné ou un angio-scanner, en cas de suspicion d’une embolie artérielle et du point de vue biologique par l’élévation des D-Dimères. L’évaluation a porté sur l’incidence globale des thromboses et la détermination des facteurs prédictifs suivants : âge, les comorbidités, l’utilisation des immunomodulateurs (IMiDs), l’utilisation du G-CSF au cours de la mobilisation et de la phase d’aplasie, le site d’insertion du KT central ainsi que sa durée, le nombre de cytaphérèse, le taux de CD34+ perfusées et enfin la prophylaxie de la TVP par une héparine de bas poids moléculaire (HBPM). L’analyse statistique a été réalisée à l’aide du test du Khi2 ou de Fisher. Résultats : 411 patients ont été colligés, dont 249 hommes avec un sexe ratio de 1,53. L’incidence globale de la thrombose est de 18.49% (76 patients). Les facteurs prédictifs retrouvés sont l’utilisation des IMiDs (p=0,0006), le site d’insertion fémorale du KTC (p=0,021) et sa durée (p=0,018), le taux de G-CSF?15µg/kg (0,014) au cours de la mobilisation, le nombre de CD34+ perfusées> 5x106/kg (p=0.035) et la prophylaxie avec les HBPM (p=0.029). Conclusion : L’incidence globale de thrombose est semblable à celle rapportée dans la littérature. La prophylaxie par HBPM est indispensable dans la prévention de la thrombose au cours du MM. Mots clés : Autogreffe de CSH, facteurs prédictifs, myélome multiple, thrombose.

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Increased risk of adverse cardiovascular events by strict glycemic control after percutaneous coronary intervention (HbA1c < 6.5% at 2 years) in type 2 diabetes mellitus combined with acute coronary syndrome: a 5-years follow-up study

Cited by 6 publications

References 46 publications

Associations of diabetes status and glucose measures with outcomes after endovascular therapy in patients with acute ischemic stroke: an analysis of the nationwide TREAT-AIS registry

Associations of diabetes status and glucose measures with outcomes after endovascular therapy in patients with acute ischemic stroke: an analysis of the nationwide TREAT-AIS registry

A Cohort Study of the Effects of Integrated Medical and Nursing Rounds Combined with AIDET Communication Mode on Recovery and Quality of Life in Patients Undergoing Percutaneous Coronary Intervention

Les facteurs prédictifs de thrombose au cours de la procédure d’autogreffe de cellules souches au cours du myélome multiple (MM): Expérience de l’EHU Oran.

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