The impact of diabetes mellitus on in-hospital stroke mortality

Bin Basri Hamidon, Raymond Azman Ali

Research output: Contribution to journalArticle

26 Citations (Scopus)

Abstract

Background and Purpose: Diabetes mellitus is a strong risk factor for stroke. However, the prognosis in terms of mortality after a stroke is still unclear, especially in diabetic patients. The main purpose of this study was to compare and evaluate the features of stroke in patients having diabetes mellitus with those without diabetes mellitus and to identify factors that influence survival following a stroke. Subjects and Methods: In a prospective hospital-based study consecutive patients with acute ischaemic stroke were enrolled. A single observer, using predefined diagnostic criteria recorded the demographics, risk factors and the type of stroke and deaths that occurred during the in-patient period. Results: One hundred and sixty-three patients with acute ischaemic stroke were enrolled in the study. Type 2 diabetes mellitus was present in 90 (55.2%) patients. Diabetes was a significant independent predictor of mortality (OR 4.88; 95%CI 1.25-19.1). Among the diabetic patients middle cerebral artery (MCA) territory infarct (OR 34.8, 95%CI 4.5-269.4) and Glasgow coma score (GCS) less than 9 (OR 12.3, 95%CI 3.7-198.1) were independent predictors of mortality. Conclusions: MCA infarcts and poor conscious level increase the mortality in diabetic patients with stroke. Mortality is also significantly related to a high level of blood glucose at admission.

Original languageEnglish
Pages (from-to)307-309
Number of pages3
JournalJournal of Postgraduate Medicine
Volume49
Issue number4
Publication statusPublished - Oct 2003

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Hospital Mortality
Diabetes Mellitus
Stroke
Mortality
Middle Cerebral Artery
Coma
Type 2 Diabetes Mellitus
Blood Glucose
Demography
Survival

Keywords

  • Diabetes mellitus
  • Hyperglycaemia
  • Mortality
  • Stroke

ASJC Scopus subject areas

  • Medicine(all)

Cite this

The impact of diabetes mellitus on in-hospital stroke mortality. / Hamidon, Bin Basri; Ali, Raymond Azman.

In: Journal of Postgraduate Medicine, Vol. 49, No. 4, 10.2003, p. 307-309.

Research output: Contribution to journalArticle

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