The impact of diabetes mellitus on in-hospital stroke mortality.
J Postgrad Med
;
2003 Oct-Dec; 49(4): 307-9; discussion 309-10
Artigo
em Inglês
| IMSEAR
| ID: sea-115825
ABSTRACT
BACKGROUND AND PURPOSE:
Diabetes mellitus is a strong risk factor for stroke. However, the prognosis in terms of mortality after a stroke is still unclear, especially in diabetic patients. The main purpose of this study was to compare and evaluate the features of stroke in patients having diabetes mellitus with those without diabetes mellitus and to identify factors that influence survival following a stroke. SUBJECTS ANDMETHODS:
In a prospective hospital-based study consecutive patients with acute ischaemic stroke were enrolled. A single observer, using predefined diagnostic criteria recorded the demographics, risk factors and the type of stroke and deaths that occurred during the in-patient period.RESULTS:
One hundred and sixty-three patients with acute ischaemic stroke were enrolled in the study. Type 2 diabetes mellitus was present in 90 (55.2%) patients. Diabetes was a significant independent predictor of mortality (OR 4.88; 95%CI 1.25-19.1). Among the diabetic patients middle cerebral artery (MCA) territory infarct (OR 34.8, 95%CI 4.5-269.4) and Glasgow coma score (GCS) less than 9 (OR 12.3, 95%CI 3.7-198.1) were independent predictors of mortality.CONCLUSIONS:
MCA infarcts and poor conscious level increase the mortality in diabetic patients with stroke. Mortality is also significantly related to a high level of blood glucose at admission.
Texto completo:
DisponíveL
Índice:
IMSEAR (Sudeste Asiático)
Assunto principal:
Feminino
/
Humanos
/
Masculino
/
Análise de Sobrevida
/
Análise Multivariada
/
Estudos Prospectivos
/
Acidente Vascular Cerebral
/
Diabetes Mellitus Tipo 2
/
Angiopatias Diabéticas
/
Malásia
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
/
Fatores de risco
País/Região como assunto:
Ásia
Idioma:
Inglês
Revista:
J Postgrad Med
Ano de publicação:
2003
Tipo de documento:
Artigo
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