Coronary disease & ACSCohort study
Patterns and Outcomes of Completeness of Revascularization in Patients With Diabetes and Non–ST-Segment–Elevation Myocardial Infarction in Ontario, Canada
- population-based cohort
Authors' conclusion
Almost a quarter of the patients with diabetes and non-ST-segment-elevation myocardial infarction did not receive any revascularization procedure. There was an incremental mortality reduction associated with CABG or complete revascularization with PCI, compared with incomplete revascularization with PCI or no revascularization.
Study context
- Population
- Patients with diabetes and multivessel disease hospitalized for non-ST-segment-elevation myocardial infarction in Ontario, Canada, between April 2009 and March 2020 and undergoing coronary angiographymean age: 68.7±11.5 years, 69.6% male patients
- Participants
- 14,511 patients
- Exposure
- Coronary artery bypass grafting (CABG), complete percutaneous coronary intervention (PCI) and incomplete PCI compared with no revascularization
- CABGn = 4,525
- complete PCIn = 3,008
- incomplete PCIn = 3,624
- no revascularizationn = 3,354reference
- Outcome
- All-cause death
- Follow-up
- 5 years
Main finding
As reported in the abstract
Each group vs no revascularizationHazard ratio (95% CI)
CABG46% reduction
0.54(0.50–0.58)
complete PCI35% reduction
0.65(0.60–0.71)
incomplete PCI27% reduction
0.73(0.68–0.79)
Observational data: associations, not effects.
Original publication
Patterns and Outcomes of Completeness of Revascularization in Patients With Diabetes and Non–ST-Segment–Elevation Myocardial Infarction in Ontario, Canada. Circ Popul Health Outcomes. Published 13 January 2026. doi:10.1161/circoutcomes.125.012310
Summarised from the published abstract; every number is checked against it