Articles: mortality.
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To evaluate whether increasing frailty, as measured by the Clinical Frailty Scale (CFS), was associated with an increased risk of hospital mortality for patients undergoing cardiac surgery. ⋯ This study demonstrated that increasing Clinical Frailty Scale was strongly associated with increased hospital mortality, hospital and ICU length of stay, invasive ventilation hours, renal replacement therapy, and tracheostomy insertion, among patients undergoing cardiac surgery in Australia and New Zealand.
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The gap in excess mortality between subjects with and without diabetes has not decreased over time. The aim of this study was to investigate the determinants of mortality after acute myocardial infarction (AMI) in subjects with diabetes and without diabetes in a contemporary population. A retrospective analysis of a cohort of 266 patients with a diagnosis of AMI during 2022 was carried out. ⋯ Plasma glucose was independently associated with peak troponin in both subjects with and without diabetes. These data suggest that patients living with diabetes and have a low eGFR warrant more aggressive risk reduction and use of nephroprotective medications. Further studies are needed to assess whether early blood glucose control improves cardiovascular outcomes in all patients with AMI.