Elevated HbA1c is not associated with recurrent venous thromboembolism in the elderly, but with all-cause mortality- the SWEETCO 65+ study.


Journal

Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288

Informations de publication

Date de publication:
12 02 2020
Historique:
received: 13 12 2018
accepted: 21 01 2020
entrez: 14 2 2020
pubmed: 14 2 2020
medline: 18 11 2020
Statut: epublish

Résumé

The association of glycated hemoglobin (HbA1c) with venous thromboembolism (VTE) and death in the elderly is unknown. In the SWEETCO 65+ study we analyzed prospectively a Swiss Cohort of Elderly Patients with Venous Thromboembolism (SWITCO 65+). 888 patients were enrolled for the SWEETCO 65+ analysis. HbA1c was determined at baseline and divided into three categories (HbA1c < 5.7%, normal range; 5.7-6.49%, pre-diabetic range; and >6.5%, diabetic range). Median follow-up was 2.5 years. The primary endpoint was recurrent VTE. Secondary endpoints included all-cause mortality and major bleeds. The total prevalence of diabetes was 22.1%. The risk of recurrent VTE was similar in patients with HbA1c with pre-diabetes (adjusted subhazard ratio (aSHR) 1.07 [0.70 to 1.63]) and diabetes (aSHR 0.73 [0.39 to 1.37]) as compared to those with a HbA1c in the normal range. However, a HbA1c ≥ 6.5% (median IQ range 7.0 [6.70;7.60]) was significantly associated with a higher risk of all-cause mortality (adjusted hazard ratio [aHR] 1.83 [1.21 to 2.75]). In summary we found no association between HbA1c and major bleeding. Elevated HbA1c levels are not associated with recurrent VTE but with increased all-cause mortality in an elderly population with acute VTE.

Identifiants

pubmed: 32051462
doi: 10.1038/s41598-020-59173-2
pii: 10.1038/s41598-020-59173-2
pmc: PMC7016100
doi:

Substances chimiques

Biomarkers 0
Glycated Hemoglobin A 0
hemoglobin A1c protein, human 0

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

2495

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Auteurs

Alexandra Mathis (A)

DiaMon Institute, Baden-Dättwil, Switzerland.

Lukas Villiger (L)

DiaMon Institute, Baden-Dättwil, Switzerland.

Martin F Reiner (MF)

Department of Internal Medicine, Cantonal Hospital of Baden, Baden, Switzerland.
Center for Molecular Cardiology, University of Zurich, Schlieren, Switzerland.

Michael Egloff (M)

Department of Internal Medicine, Cantonal Hospital of Baden, Baden, Switzerland.

Hans Ruedi Schmid (HR)

Central Laboratory, Cantonal Hospital of Baden, Baden, Switzerland.

Simona Stivala (S)

Center for Molecular Cardiology, University of Zurich, Schlieren, Switzerland.

Andreas Limacher (A)

CTU Bern, and Institute of Social and Preventive Medicine (ISPM), University of Bern, Bern, Switzerland.

Marie Mean (M)

Division of General Internal Medicine, Bern University Hospital, Inselspital, University of Bern, Bern, Switzerland.
Division of Internal Medicine, Lausanne University Hospital, Lausanne, Switzerland.

Drahomir Aujesky (D)

Division of General Internal Medicine, Bern University Hospital, Inselspital, University of Bern, Bern, Switzerland.

Nicolas Rodondi (N)

Division of General Internal Medicine, Bern University Hospital, Inselspital, University of Bern, Bern, Switzerland.
Institute of Primary Health Care (BIHAM), University of Bern, Bern, Switzerland.

Anna Angelillo-Scherrer (A)

Department of Hematology and Central Hematology Laboratory, Bern University Hospital, Inselspital, University of Bern, Bern, Switzerland.
Department of Bio Medical Research, University of Bern, Bern, Switzerland.

Marc Righini (M)

Division of Angiology and Hemostasis, Geneva University Hospital, Geneva, Switzerland.

Daniel Staub (D)

Division of Angiology, Basel University Hospital, Basel, Switzerland.

Markus Aschwanden (M)

Division of Angiology, Basel University Hospital, Basel, Switzerland.

Beat Frauchiger (B)

Department of Internal Medicine, Cantonal Hospital of Frauenfeld, Frauenfeld, Switzerland.

Joseph Osterwalder (J)

Cantonal Hospital of St. Gallen, St. Gallen, Switzerland.

Nils Kucher (N)

Division of Angiology, Zurich University Hospital, Zurich, Switzerland.

Christian M Matter (CM)

Center for Molecular Cardiology, University of Zurich, Schlieren, Switzerland.
Department for Cardiology, University Heart Center, Zurich University Hospital, Zurich, Switzerland.

Martin Banyai (M)

Division of Angiology, Cantonal Hospital of Lucerne, Lucerne, Switzerland.

Oliver Hugli (O)

Emergency Department, Lausanne University Hospital, Lausanne, Switzerland.

Juerg H Beer (JH)

Department of Internal Medicine, Cantonal Hospital of Baden, Baden, Switzerland. hansjuerg.beer@ksb.ch.
Center for Molecular Cardiology, University of Zurich, Schlieren, Switzerland. hansjuerg.beer@ksb.ch.

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