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Category: Volume 07 Issue 03 March 2019
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Title: Glycemic Status in Acute Stroke in Relation to its Severity and Outcome

Authors: Dr Prachi Pratichi Das, Dr Malati Murmu

 DOI: https://dx.doi.org/10.18535/jmscr/v7i3.192

Abstract

The correlation of glycemic status to clinical severity and outcome of cerebrovascular accident (CVA) was studied in newly diagnosed CT/MRI proven cases of stroke. Total 200 patients were classified into euglycemia, stress hyperglycaemia and diabetic group based on the admission blood glucose, glycosylated haemoglobin (HbA1C) and past history of diabetes. The lesions (bleed/infarct) were classified into small, medium and large sized. Neurological assessment was done on admission using National Institute of Health Stroke Scale (NIHSS) score and the patients were followed up for 7 days to see the outcome. The maximum number of patients were between age groups of 61-70 constituting 39.5% of the total, with M: F 1.3:1, The incidence of hyperglycaemia was 58% and admission blood glucose ranged between 70-576 mg%. There were 35.5 % patients with diabetes, 22.5% with stress hyperglycemia and 42 % with euglycemia. Increased admission glucose was associated with severe presentation, high NIHSS scores and higher mortality among ischemic stroke. Admission blood glucose did not correlate with the severity and outcome in haemorrhagic stroke suggesting that admission blood glucose is not an independent predictor of severity and outcome in haemorrhagic stroke.

Keywords: glycemic status, stress hyperglycaemia, diabetes, cerebrovascular accident, ischemic stroke, haemorrhagic stroke, HbA1C, NIHSS.

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Corresponding Author

Dr Prachi Pratichi Das, Post Graduate

Medicine, VSSIMSAR