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Title: Prevalence of diabetes and other risk factors in acute coronary syndrome.
Author: Sharma, Anand
Adams, Nicholas
Sahathevan, Ramesh
Hu, Chih-Chiang
Yoo, Patrick
Low, Ashlea
Hair, Casey
Maylin, Erin
Harrison, Tania
Song, David
Oqueli, Ernesto
Kraemer, Thomas
Lau, Mandy
Issue Date: 2018
Conference Name: Ballarat Health Services 2018 Annual Research Symposium: research partnerships for population, people and patients; celebrating our research partnerships with the community in the Grampians region
Conference Date: November 29th
Conference Place: Ballarat
Abstract: Background Cardiovascular disease (CVD) is the leading cause of mortality both globally and in Australia, and coronary artery disease (CAD) the most common form. Diabetes mellitus is a well-established independent and modifiable risk factor for all forms of CVD that has almost doubled in prevalence in the last 3 decades and is continuing to rise. Data from the 2014-15 Australian national health survey found the prevalence of Diabetes in Australia to be 5.1% with potentially a further 20% undiagnosed. The prevalence in Ballarat shire was higher (5.4%), and equally high or higher in surrounding catchment areas for Ballarat Health Services (BHS). However, whilst there has been significant research into Diabetes prevalence in CVD and CAD in the US where Diabetes rates are higher, there is limited published data in Australia, and none in our high prevalence community. There is a need for this data to assist in implanting targeted and evidence based public health primary and secondary prevention strategies to reduce the burden of CVD and Diabetes. Objectives/Aims To determine the: Prevalence of Diabetes mellitus in patients presenting to BHS with acute coronary syndrome (ACS), Incidence of newly diagnosed diabetes in these patients, Impact of glycaemic control in these patients on outcome, Overall risk factor profiles in these patients, Average age of patients presenting with first presentation of ACS, Prevalence and epidemiology of patients with painless or atypical pain presentation ACS Method Retrospective audit from 01/01/2015 to 31/12/2017 of the routinely collected data held in patient files of patients presenting to BHS with ACS. 27 data points will be collected including – anthropometry, cardiac risk factors, presenting symptoms, type of ACS, angiography, echocardiogram and ecg results, outcome/intervention, medications, and in Diabetics; their type, management, HbA1c, eGFR. Results Preliminary** (~60% of patients (425 subjects) analysed): • Diabetes 31% o Average HbA1c 7.4 • Obesity 39% • Males 64% • Average Age (no documented history of IHD) 66 • Average Age (overall) 68 • Atypical ACS n64 o No Pain (44), atypical pain (20) o Diabetes 43% o Obesity 50% o Females 57% o Average age (overall) 74 Implications/Outcomes for Planned Research Project Determining the prevalence of Diabetes and other cardiac risk factors in the ACS population at BHS will enable targeted and evidence based public health primary and secondary prevention strategies for CVD/ACS which hopefully reduces the prevalence and burden of disease. Epidemiological data regarding ACS presentation will assist clinicians in screening presenting patients.
Internal ID Number: 01284
Type: Conference
Appears in Collections:Research Output

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