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Kyushu Prevention Study of Atherosclerosis

Not Applicable
Conditions
Atherosclerosis
Registration Number
JPRN-UMIN000011245
Lead Sponsor
Kyushu University
Brief Summary

This observational study included 3981 diabetic patients (61.0(SD=11.8) years of age, 59.4% men), registered in the Kyushu Prevention Study for Atherosclerosis. Patients were divided into 3 groups according to the value of ABI at baseline:ABI <0.90 (abnormal ABI:354 patients), 0.91<ABI<0.99 (borderline ABI:333 patients), and 1.00<ABI<1.40 (normal ABI:3294 patients). Cumulative incidence of all-cause death was significantly higher in patients with abnormal and borderline ABI than in those with normal ABI (34.4% vs.13.5%, P<0.0001 and 26.1% vs.13.5%, P<0.0001, respectively). In multivariate analysis, the risks for all-cause death in patients with abnormal ABI (HR:2.16; 95%CI:1.46-3.14; P=0.0002) and borderline ABI (HR:1.78; 95%CI:1.14-2.70; P=0.01) were significantly higher than in those with normal ABI. The incidence of PAD was remarkably higher in patients with borderline ABI than in those with normal ABI (32.2% vs.9.0%, P<0.0001). After adjustment, the risk for PAD was significantly higher in patients with borderline ABI than in those with normal ABI (HR:3.10; 95%CI:1.90-4.95; P<0.0001). Borderline ABI in diabetic patients was associated with significantly higher risks for mortality and PAD compared with normal ABI.

Detailed Description

Not available

Recruitment & Eligibility

Status
Complete: follow-up complete
Sex
All
Target Recruitment
6000
Inclusion Criteria

Not provided

Exclusion Criteria

Patients under 20 and over 85 years old.

Study & Design

Study Type
Observational
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
all-cause death
Secondary Outcome Measures
NameTimeMethod
cardiovascular event cardiovascular death PWV value ABI value
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