SavedAdd your journal

Journals / Eurasian Journal of Emergency Medicine / 2021 / Cilt: 20 - Sayı: 2

The Effect of Blood Glucose Value on the Short-term Mortality ofAcute Ischemic Stroke

Feridun KARAKURT
Osman Serhat TOKGÖZ
Ahmet BUĞRUL
Pages
79–85
Publication Date
2022-10-11
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

On the first, third, fifth, and seventh day of the stroke, BGV were significantly higher in the mortality group (130.5 mg/dL, 124.5 mg/dL, 133.5 mg/dL, and 132.5 mg/dL, respectively, according to the receiver operating characteristic analysis) than in the survival group (p

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Aim: This study aimed to examine the relationship between short-term mortality and blood glucose values (BGV) obtained during the first week of ischemic stroke, when neurological causes, such as increased intracranial pressure, are mainly predominant in mortality prediction.Materials and Methods: This is a retrospective study that includes 417 patients with acute ischemic stroke (AIS), who were admitted to our hospital within the first 24 hours of the stroke.
📊
Key Findings & Data:On the first, third, fifth, and seventh days of the stroke, the effect of BGV on the patient’s functional outcome was evaluated.Results: Of 417 patients, 90 (21.58%) died within a one-month follow-up period.
💡
Conclusion & Impact:On the first, third, fifth, and seventh day of the stroke, BGV were significantly higher in the mortality group (130.5 mg/dL, 124.5 mg/dL, 133.5 mg/dL, and 132.5 mg/dL, respectively, according to the receiver operating characteristic analysis) than in the survival group (p
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Aim: This study aimed to examine the relationship between short-term mortality and blood glucose values (BGV) obtained during the first week of ischemic stroke, when neurological causes, such as increased intracranial pressure, are mainly predominant in mortality prediction.Materials and Methods: This is a retrospective study that includes 417 patients with acute ischemic stroke (AIS), who were admitted to our hospital within the first 24 hours of the stroke. Data were recorded using the International Classification of Diseases Code. On the first, third, fifth, and seventh days of the stroke, the effect of BGV on the patient’s functional outcome was evaluated.Results: Of 417 patients, 90 (21.58%) died within a one-month follow-up period. There was no difference between the mortality and survival groups in terms of diabetes mellitus (DM) history (χ2=0.783; p=0.224). On the first, third, fifth, and seventh day of the stroke, BGV were significantly higher in the mortality group (130.5 mg/dL, 124.5 mg/dL, 133.5 mg/dL, and 132.5 mg/dL, respectively, according to the receiver operating characteristic analysis) than in the survival group (p

🔖

Cite This Article

KARAKURT, F., TOKGÖZ, O. S., BUĞRUL, A. (2022). The Effect of Blood Glucose Value on the Short-term Mortality ofAcute Ischemic Stroke. Eurasian Journal of Emergency Medicine, Cilt: 20 - Sayı: 2, 79–85. https://ajindex.com/articles/507919

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (15)

  1. Öztürk Ş. Epidemiology of cerebrovascular diseases and Risk factorsperspectives of the world and Turkey. Turk J Geriatr. 2009;13:51-8
  2. Gaillard T, Miller E. Guidelines for Stroke Survivors With Diabetes Mellitus. Stroke. 2018;49:215-7
  3. Zhang Z, Yan J, Shi H. Hyperglycemia as a Risk Factor of Ischemic Stroke. J Drug Metab Toxicol. 2013;4:153
  4. Emerging Risk Factors Collaboration, Sarwar N, Gao P, Seshasai SR, Gobin R, Kaptoge S, et al. Diabetes mellitus, fasting blood glucose concentration, and risk of vascular disease: a collaborative meta-analysis of 102 prospective studies. Lancet. 2010;375:2215-22
  5. Luitse MJ, Biessels GJ, Rutten GE, Kappelle LJ. Diabetes, hyperglycaemia, and acute ischaemic stroke. Lancet Neurol. 2012;11:261-71
  6. O’Donnell MJ, Xavier D, Liu L, Zhang H, Chin SL, Rao-Melacini P, et al. Risk factors for ischaemic and intracerebral haemorrhagic stroke in 22 countries (the INTERSTROKE study): a case-control study. Lancet. 2010;376:112-23
  7. Tziomalos K, Spanou M, Bouziana SD, Papadopoulou M, Giampatzis V, Kostaki S, et al. Type 2 diabetes is associated with a worse functional outcome of ischemic stroke. World J Diabetes. 2014;5:939-44
  8. Szczudlik A, Slowik A, Turaj W, Wyrwicz-Petkow U, Pera J, Dziedzic T, et al. Transient hyperglycemia in ischemic stroke patients. J Neurol Sci. 2001;189:105-11
  9. Ntaios G, Egli M, Arsovska A, Joye D, Bettex Y, Lauber E, et al. An intravenous insulin protocol for strict glycemic control in acute ischaemic stroke. Eur J Neurol. 2012;19:443-51
  10. Ntaios G, Faouzi M, Ferrari J, Lang W, Vemmos K, Michel P. An integer-based score to predict functional outcome in acute ischemic stroke: the ASTRAL score. Neurology. 2012;78:1916-22
  11. O’Neill PA, Davies I, Fullerton KJ, Bennett D. Stress hormone and blood glucose response following acute stroke in the elderly. Stroke. 1991;22:842-7
  12. Rosso C, Attal Y, Deltour S, Hevia-Montiel N, Lehéricy S, Crozier S, et al. Hyperglycemia and the fate of apparent diffusion coefficient-defined ischemic penumbra. AJNR Am J Neuroradiol. 2011;32:852-6
  13. Jørgensen H, Nakayama H, Raaschou HO, Olsen TS. Stroke in patients with diabetes. The Copenhagen Stroke Study. Stroke. 1994;25:1977-84
  14. Karapanayiotides T, Piechowski-Jozwiak B, van Melle G, Bogousslavsky J, Devuyst G. Stroke patterns, etiology, and prognosis in patients with diabetes mellitus. Neurology. 2004;62:1558-62
  15. Tuttolomondo A, Pinto A, Salemi G, Di Raimondo D, Di Sciacca R, Fernandez P, e