CLINICAL SYMPTOMS, IMAGING AND SOME POOR PROGNOSTIC FACTORS IN ACUTE ISCHEMIC STROKE IN INDIVIDUALS WITH DIABETES

Duy Toản Nguyễn, Trần Hưng Hà, Duy Tôn Mai

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Abstract

Ischemic stroke in individuals with diabetes ineffective responds to internal medicine and physical medicine and rehabilitation. In addition, those who have diabetes have poorer sequelae than those who do not. Objectives: To evaluate clinical features, imaging and analyze some prognosis factors dismal in the group of ischemic stroke patients with diabetes. Study method: A descriptive cross-sectional study was conducted on 125 ischemic stroke patients with diabetes from May to November 31st 2023 at Bachmai Stroke Center.  Results: in 125 selected samples (males 83 (66.4%)), median age 66 (59-74). After 3 months, 29 patients (23.2%) had poor clinical outcomes (mRS 3-6). Factors associated with poor prognosis include: high NIHSS score ≥ 16 at the time of admission (OR=5.57, 95% CI:3.78-8.21, p<0.01); occlusion or stenosis of intracranial vessels over 50% (OR=8.18, 95%CI: 3.25-20.57, p<0.01); and need to use insulin to control blood sugar (OR=2.39, 95% CI: 0.73-7.81, p<0.05). Conclusions: Those who are suffered from Ischemic stroke in people with diabetes have a dismal clinical outcome than people without diabetes.

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References

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