TY - JOUR T1 - Accessibility to health care of diabetic patients with acute coronary syndrome ST-segment elevation JO - Medicina Intensiva (English Edition) T2 - AU - Baeza-Román,A. AU - de Miguel-Balsa,E. AU - Latour-Pérez,J. AU - Díaz de Antoñana-Saez,V. AU - Arguedas-Cervera,J. AU - Mira-Sánchez,E. AU - Fernández-González,C.J. AU - Rico-Sala,M. AU - Lafuente-Mateo,M. SN - 21735727 M3 - 10.1016/j.medine.2016.02.001 DO - 10.1016/j.medine.2016.02.001 UR - https://www.medintensiva.org/en-accessibility-health-care-diabetic-patients-articulo-S2173572716000084 AB - ObjectivesTo measure accessibility to health care among diabetic patients and analyze whether differences in delay explain differences in hospital mortality. MethodsA retrospective cohort study was conducted in diabetic patients with acute coronary syndrome with ST-segment elevation included in the ARIAM-SEMICYUC registry (2010–2013). Crude and adjusted analyses were performed using unconditional logistic regression. ResultsA total of 4817 patients were analyzed, of whom 1070 (22.2%) were diabetics.No differences were found in access to health care between diabetic and non-diabetic patients. Diabetic patients presented with longer patient delay (90min vs. 75min; p=.004) and prehospital delay (150min vs. 130min; p=.002). Once the health system was contacted, diabetic patients had a lower reperfusion rate (50% vs. 57.7%; p<.001), but no longer delay in treatment was observed compared with the non-diabetic individuals. Diabetic patients have greater in-hospital mortality (12.5 vs. 6%; p<.001), though neither patient delay nor prehospital delay was identified as independent predictors of in-hospital mortality. ConclusionsDiabetic patients had a longer delay in access to health care, though such delay was not independently related to increased mortality. ER -