Association between fasting blood glucose and outcomes and mortality in acute ischaemic stroke patients with diabetes mellitus: a retrospective observational study in Wuhan, China
| Autor: | Bo Peng, Zhichao Liu, Lu Xu, Qin Cui, Jing Shen, Tao Yao, Yan-Qiang Zhan |
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| Rok vydání: | 2020 |
| Předmět: |
Blood Glucose
Male China medicine.medical_specialty lcsh:Medicine Brain Ischemia Risk Factors Modified Rankin Scale Internal medicine Diabetes mellitus medicine Humans Stroke Ischemic Stroke Retrospective Studies neuropathology business.industry Proportional hazards model lcsh:R Retrospective cohort study Fasting General Medicine Middle Aged medicine.disease stroke diabetic neuropathy Blood pressure Neurology Female business Body mass index Diabetic Angiopathies Cohort study |
| Zdroj: | BMJ Open, Vol 10, Iss 6 (2020) BMJ Open |
| ISSN: | 2044-6055 |
| DOI: | 10.1136/bmjopen-2020-037291 |
| Popis: | ObjectiveTo evaluate the predictive value of fasting blood glucose (FBG) on unfavourable outcomes and mortality in diabetes mellitus (DM) patients after acute ischaemic stroke (AIS).Study designA hospital-based observational cohort study was conducted. Clinical data, including sex, age, body mass index, vascular risk factors and systolic/diastolic blood pressure, were routinely collected. National Institutes of Health Stroke Scale score was used to assess stroke severity on admission. FBG was determined on the first day after fasting for at least 8 hours. The modified Rankin Scale was used to assess functional outcome at 90 days: 3–6, unfavourable outcome and 6, death.SettingRenmin Hospital of Wuhan University, Wuhan, China.ParticipantsPatients who had AIS with DM, who were consecutively admitted within 24 hours of onset from January 2018 to June 2019.ResultsFor the 568 patients, the median age was 65 years (IQR, 55–74 years). There were 377 (66.4%) men. The median FBG values were 7.37 mmol/L (IQR, 5.99–10.10 mmol/L), and the median glycated haemoglobin (HbA1c) values were 6.6 (IQR, 5.8–8.3). Multivariable logistic and Cox regression analysis of confounding factors showed that FBG at the time of admission was an independent predictor of unfavourable outcome (OR, 1.25 (1.14–1.37); pConclusionsHigher FBG levels are associated with unfavourable outcomes and mortality in Chinese patients who had AIS with DM. Our data contribute to the knowledge regarding the relationship between FBG and prognosis in patients with DM who had AIS. |
| Databáze: | OpenAIRE |
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