STUDY ON THE RATE OF HYPERGLYCEMIA IN ISCHEMIC STROKE PATIENTS IN THE FIRST 3 DAYS

Đỗ Đức Thuần1,, Đinh Công Trường2, Nguyễn Thị Phi Nga1
1 Military Hospital 103
2 National Hospital of Endocrinology

Main Article Content

Abstract

Objective: Study on the rate of hyperglycemia in ischemic stroke patients in the first 3 days. Subject and method: Prospective, cross-sectional study of 246 ischemic stroke patients in the first 3 days in the stroke department of Hospital No103 from july 2017 to August 2018. Result: The rate of hyperglycemia in the study group was 35.37%. The rate of hyperglycemia in ischemic stroke patients with diabetes is 73.75%, without diabetes is 16.86%. The patients with atrial fibrillation was 47.62%, Glasgow ≤ 9 points was 75%, middle cerebral artery occlusion 59.09% and basilar artery occlusion was 71.42%. Conclution: Hyperglycemia occurs in 35.37% of ischemic stroke patients in the first 3 days, the rate of hyperglycemia accounts for a high proportion in patients with a history of diabetes, clinical severe cerebral infarction.

Article Details

References

1. Wade S.S., Joey D.E., Johnston S.C. (2013), "Cerebrovascular Diseases", HARRISON’STM NEUROLOGY IN CLINICAL MEDICINE, 3rd Edition, McGraw-Hill Education, pp. 256-294.
2. Powers W.J., Rabinstein A.A., Ackerson T. et al (2018), "2018 Guidelines for the Early Management of Patients With Acute Ischemic Stroke: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association", Stroke, 49(3), pp. e46-e99.
3. Muir K.W., McCormick M., Baird T. et al (2011), "Prevalence, Predictors and Prognosis of Post-Stroke Hyperglycaemia in Acute Stroke Trials: Individual Patient Data Pooled Analysis from the Virtual International Stroke Trials Archive (VISTA)", Cerebrovascular Diseases Extra, 1(1), pp. 17-27.
4. Shimoyama T., Kimura K., Uemura J. et al (2014), "Elevated glucose level adversely affects infarct volume growth and neurological deterioration in non-diabetic stroke patients, but not diabetic stroke patients", European Journal of Neurology, 21(3), pp. 402-410.
5. Lindsberg P.J., Roine R.O. (2004), "Hyperglycemia in Acute Stroke", Stroke, 35(2), pp. 363-364.
6. Garg R., Chaudhuri A., Munschauer F. et al (2006), "Hyperglycemia, Insulin, and Acute Ischemic Stroke", Stroke, 37(1), pp. 267-273.
7. Saposnik G., Gladstone D., Raptis R. et al (2013), "Atrial fibrillation in ischemic stroke: predicting response to thrombolysis and clinical outcomes", Stroke, 44(1), pp. 99-104.
8. Marik P.E., Bellomo R. (2013), "Stress hyperglycemia: an essential survival response!", Critical care (London, England), 17(2), pp. 305-305.