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An Observational Study of Glycemic Status in New Onset Acute Stroke and Their Clinical Outcome in a Tertiary Care Teaching Hospital Cover

An Observational Study of Glycemic Status in New Onset Acute Stroke and Their Clinical Outcome in a Tertiary Care Teaching Hospital

Open Access
|Dec 2023

Figures & Tables

Fig. 1

Association between glycemic status and outcome. Chi-square=69.3, df= 9, P<0.001.

Distribution of study subjects according to risk factors incidence in relation to gender

Male%Female%TotalTotal %
RISK FACTORS
Hypertension6663.63836.3610465.8
Smoking63100006339.8
Diabetes2760.71739.34427.8
Alcohol3996.123.854125.9
Hyper Cholesterolemia1671.4628.562213.9
Atrial Fibrillation00210021.26
Coronary Artery Disease666.6333.3395.69
CLINICAL PRESENTATION
Right hemiplegia6069.12730.98755
Left hemiplegia3964.12235.96138.6
Faciobrachial Monoplegia337.5562.585
Cerebellar symptoms21000021.26
Loss of consciousness4960.83139.28050.6
Hemianopia36023053.16
Aphasia3558.32541.66037.9
Bladder and Bowel involvement2559.61740.44226.5

Stroke severity according to NIHSS score on admission day

Glycemic statusNNIHSS score Mean ± SDOne-way ANOVA F test*
Euglycemia709.5 ± 6.760
Stress hyperglycemia4419.4±5.248
Known diabetes2517.3±6.561F=401.1,
Newly diagnosed diabetes1916.3±7.040P<0.001

Correlation of Sugar Levels and Outcome in stroke Groups

Group Outcome
GoodModeratePoorDeathTotal
HEMORRHAGESUGARA550717
B02204
C07007
D007815
Total 51491543
ISCHAEMICSUGARA4053553
B21211025
C230510
D0032427
Total 44201734115

Association between Glycemic status and type of stroke

Glycemic StatusIschaemic StrokeHemorrhagic StrokeTOTAL
No.%No.%No.%
Euglycemia5477.1%1622.9%7044.3%
Stress hyperglycemia3681.8%818.2%4427.8%
Known Diabetes1560.0%1040.0%2515.8%
Newly diagnosed Diabetes1052.7%947.3%1912.1%
TOTAL11572.7%4327.3%158100%

Association between Glycemic status and size of the lesion

Glycemic statusSmallMediumLargeTotal
Freq%Freq%Freq%
Euglycemia4665.71318.61115.770
Stress hyperglycemia24.522502045.544
Known diabetes312135293625
Newly diagnosed diabetes001052.6947.419
Total5132.25836.84931158

Distribution of NIHSS score on Day 15 among prognosis groups

Prognosis groupsNNIHSS score (Mean ± SD)ANOVA
Good512.51±1.94F=897.4, P=0.042*
Moderate3410.41±2.24
Poor3018.23±1.45
Death430.000
Total1586.513

Association between glycemic status and outcome in stroke groups

Glycemic StatusOutcomeTotal
GoodModeratePoorDeath
Hemorrhage groupEuglycemia450615
Stress hyperglycemia02158
Known diabetes053210
Newly detected diabetes035210
Total41591543
Ischaemic groupEuglycemia4053553
Stress hyperglycemia213111137
Known diabetes232916
Newly detected diabetes00189
Total44211733115
DOI: https://doi.org/10.2478/acm-2023-0013 | Journal eISSN: 1338-4139 | Journal ISSN: 1335-8421
Language: English
Page range: 94 - 106
Submitted on: Jun 15, 2023
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Accepted on: Oct 27, 2023
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Published on: Dec 31, 2023
Published by: Sciendo
In partnership with: Paradigm Publishing Services
Publication frequency: 3 issues per year

© 2023 E.Y. Ramya, Rohith Karnati, K Swarna Deepak, published by Sciendo
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.