To estimate the proportion of patients hospitalized for myocardial infarction (MI) or stroke who receive a new diagnosis of diabetes (NDD) at the time of hospitalization.
Key Findings:
16.0% of patients with MI (95% CI 14.3–17.7) and 15.3% of patients with stroke (95% CI 12.5–18.0) were newly diagnosed with diabetes.
Higher NDD rates were observed when using oral glucose tolerance tests compared to hemoglobin A1c alone.
The proportion of NDD has not significantly changed over the last 30 years.
Interpretation:
Approximately one in six patients hospitalized for MI or stroke receives a new diabetes diagnosis, highlighting the urgent need for improved diabetes screening practices in this vulnerable population.
Limitations:
High heterogeneity in the studies included, which may affect the reliability of the pooled estimates.
Potential variability in diagnostic criteria and screening practices over time could influence the findings.
Conclusion:
The consistent rate of NDD among MI and stroke patients over three decades underscores the critical importance of enhancing diabetes screening to prevent cardiovascular events.
Damon B. Dixon, MD, at Phoenix Children’s Cardiology, is the author to this EndoText chapter. Dr. Dixon brings nationally recognized expertise in pediatric cardiovascular risk assessment and non?invasive vascular imaging.
