Does Diabetes Mellitus Make a Difference in Symptom Presentation of Patients with Acute Myocardial Infarction?

2.50
Hdl Handle:
http://hdl.handle.net/10755/335067
Category:
Full-text
Type:
Presentation
Title:
Does Diabetes Mellitus Make a Difference in Symptom Presentation of Patients with Acute Myocardial Infarction?
Other Titles:
Care Issues With the Cardiac and Diabetic Patient
Author(s):
Li, Polly W. C.; Yu, Doris S. F.; Lee, Diana T. F.
Lead Author STTI Affiliation:
Non-member
Author Details:
Polly W. C. Li, MSc (Cardiology), BNurs, RN, liwaichi@cuhk.edu.hk; Doris S. F. Yu, PhD, BSc (Nursing Studies), RN; Diana T. F. Lee, PhD, MSc, PRD (HCE), RM, RN, RTN
Abstract:
Session presented on Friday, July 25, 2014: Purpose: The study aimed to compare the differences in symptom presentation between diabetic and non-diabetic patients with acute myocardial infarction (AMI), and to examine the impact of diabetes on symptom presentation in AMI patients. Methods: A consecutive sample of patients with a confirmed diagnosis of AMI was recruited from the cardiac units of three regional hospitals in Hong Kong. Data collection was conducted through face-to-face interview. The validated Chinese version of the Symptoms of Acute Coronary Syndromes Inventory (SACSI-C) was used for symptom assessment. Results: A total sample of 397 patients was recruited, with the mean age of 63.3 - 12.7 years. Diabetes (32%) was the second most prevalent comorbidity in the sample. Diabetic patients were less likely to present with chest pain (p<0.0001) and sweating (p=0.001). Conversely, they were more likely to present with shortness of breath (p=0.001) and difficulty in breathing (p=0.003) than the non-diabetic patients. Overall, the diabetic patients were more likely to present with atypical AMI symptoms (p<0.0001). The result of multivariable logistic regression analysis showed that diabetes was an independent predictor of atypical symptom presentation in AMI patients, with an odds ratio of 2.37 (95% confidence interval: 1.36-4.12; p=0.002). Conclusion: In summary, diabetic patients have a 2.4-fold increased risk for atypical symptom presentation than that of non-diabetic patients. Health professionals should remain vigilant at recognizing atypical AMI presentation in diabetic patients. A tailor-made educative intervention should be directed to them.
Keywords:
Acute myocardial infarction; Diabetes mellitus; Symptom presentation
Repository Posting Date:
17-Nov-2014
Date of Publication:
17-Nov-2014 ; 17-Nov-2014
Other Identifiers:
INRC14D04
Conference Date:
2014
Conference Name:
25th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Hong Kong
Description:
International Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kong

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleDoes Diabetes Mellitus Make a Difference in Symptom Presentation of Patients with Acute Myocardial Infarction?en
dc.title.alternativeCare Issues With the Cardiac and Diabetic Patienten
dc.contributor.authorLi, Polly W. C.en
dc.contributor.authorYu, Doris S. F.en
dc.contributor.authorLee, Diana T. F.en
dc.contributor.departmentNon-memberen
dc.author.detailsPolly W. C. Li, MSc (Cardiology), BNurs, RN, liwaichi@cuhk.edu.hk; Doris S. F. Yu, PhD, BSc (Nursing Studies), RN; Diana T. F. Lee, PhD, MSc, PRD (HCE), RM, RN, RTNen
dc.identifier.urihttp://hdl.handle.net/10755/335067-
dc.description.abstractSession presented on Friday, July 25, 2014: Purpose: The study aimed to compare the differences in symptom presentation between diabetic and non-diabetic patients with acute myocardial infarction (AMI), and to examine the impact of diabetes on symptom presentation in AMI patients. Methods: A consecutive sample of patients with a confirmed diagnosis of AMI was recruited from the cardiac units of three regional hospitals in Hong Kong. Data collection was conducted through face-to-face interview. The validated Chinese version of the Symptoms of Acute Coronary Syndromes Inventory (SACSI-C) was used for symptom assessment. Results: A total sample of 397 patients was recruited, with the mean age of 63.3 - 12.7 years. Diabetes (32%) was the second most prevalent comorbidity in the sample. Diabetic patients were less likely to present with chest pain (p<0.0001) and sweating (p=0.001). Conversely, they were more likely to present with shortness of breath (p=0.001) and difficulty in breathing (p=0.003) than the non-diabetic patients. Overall, the diabetic patients were more likely to present with atypical AMI symptoms (p<0.0001). The result of multivariable logistic regression analysis showed that diabetes was an independent predictor of atypical symptom presentation in AMI patients, with an odds ratio of 2.37 (95% confidence interval: 1.36-4.12; p=0.002). Conclusion: In summary, diabetic patients have a 2.4-fold increased risk for atypical symptom presentation than that of non-diabetic patients. Health professionals should remain vigilant at recognizing atypical AMI presentation in diabetic patients. A tailor-made educative intervention should be directed to them.en
dc.subjectAcute myocardial infarctionen
dc.subjectDiabetes mellitusen
dc.subjectSymptom presentationen
dc.date.available2014-11-17T13:43:23Z-
dc.date.issued2014-11-17-
dc.date.issued2014-11-17en
dc.date.accessioned2014-11-17T13:43:23Z-
dc.conference.date2014en
dc.conference.name25th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationHong Kongen
dc.descriptionInternational Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kongen
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