| ●原著 |
| In-hospital charge for primary coronary intervention in patients with diabetes mellitus |
| Susumu Ui and Susumu Nakagawa |
| Department of Cardiology, Tokyo Saiseikai Central Hospital |
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| There is no published report regarding the difference of in-hospital charge for primary percutaneous coronary intervention (PCI) between diabetic (DM) and non-diabetic (NDM). To reveal the difference of in-hospital charge for primary PCI between two groups, we analyzed the PCI database of our hospital and clarified the clinical variables that influenced on the in-hospital charge. The cases presenting cardiogenic shock on admission were excluded. One-hundred and twenty-six (55 cases of DM and 71 cases of NDM) for 2 years from 2001 to 2002 were included with a followup period of average 19.6 months. In comparison between these two groups, DM was older and more in number of female with greater incidences of prior coronary artery bypass grafting, multivessel disease (MVD) and congestive heart failure (CHF) on admission. Moreover, longer hospital stay (median, 17 vs. 13 days, p = 0.0042) and higher in-hospital charge (250 ± 122 vs. 206 ± 84 × 104 yen, p = 0.0016) were statistically significant in DM. However, no clinical difference was shown among these groups regarding the PCI outcomes and major adverse cardiac events. It is concluded that higher in-hospital charge of DM was due to longer hospital stay. This result was probably derived from some clinical characteristics of DM itself, like the trend toward more frequent MVD and CHF. |
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| Keyword： F primary percutaneous coronary intervention, acute myocardial infarction, diabetes mellitus, hospital stay, in-hospital charge |
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