Context and objective. Despite being established as a correlate of unfavorable outcome in
acute stroke , little is known about the burden and associated
risk factors of admission
hyperglycemia in
acute stroke in
sub-Saharan Africa . The present study aimed to assess its frequency and associated
risk factors in Congolese
patients admitted in
Intensive Care Units (ICUs) in the acute phase of
stroke .
Methods . A multicenter (6 ICUs) prospective
cohort study including consecutive
patients with
acute stroke was undertaken from July 15th, 2017 to March 15th, 2018.The
Glasgow Coma Scale helped to determine the severety of the
disease at admission. Stress
hyperglycemia was considered for a random
blood glucose levels at admission Ë140 mg/dL in
patients without
type 2 diabetes mellitus (T2DM). Independent factors associated with admission
hyperglycemia were assessed using
logistic regression analysis . Results. Out of 194
patients (mean age 58.7±13.1 years; 64%
males , 74.7%
light to moderate
stroke severity; 59%
hemorrhagic stroke ) enrolled, admission
hyperglycemia was found in 106 (54.6%) of
patients (mean age 60.1 ± 14.3 years; 67%
men , 67%
hypertension ) with 77 (72.6%) and 29 (27.4 %) of them having stress and chronic
hyperglycemia , respectively. Independent predictors of admission
hyperglycemia were age [aOR 1.98; 95%CI 1.17-3.36), GCS < 8 (aOR 3.83; 95% CI 1.99-7.35) and diabetes (aOR 9.02; 95%CI 3.38-14.05). Conclusion. More than half of
critically ill patients exhibit admission
hyperglycemia with age, severity of
stroke and known diabetes as its main associated
risk factors