Does hyperglycaemia play a role on the outcome of acute ischaemic stroke patients?

Toni, Danilo; Sacchetti, Maria Luisa; Argentino, C.; Gentile, M; Cavalletti, Cristina; Frontoni, Marco; Fieschi, C.

doi:10.1007/bf00812155

Cited by 79 publications

(5 citation statements)

References 29 publications

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“…The flow diagram of the study process is shown in Figure 1 . A total of 13 retrospective cohort studies [ 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 ] were finally included. These included studies originating from Canada, Italy, Poland, Australia, India, Finland, the United States, Japan, China, Greece, and the Netherlands.…”

Section: Resultsmentioning

confidence: 99%

“… Sensitivity analysis plot. Refs [ 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 ] mentioned. …”

Section: Figurementioning

confidence: 99%

“… Publication bias plot. Each circle represents a retrospective cohort study [ 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 ]. …”

Section: Figurementioning

confidence: 99%

“…The overall weighted effect size and 95% CI are presented at the bottom of each subgroup and as a whole with an empty diamond. Refs [ 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 ] mentioned.…”

Section: Figurementioning

confidence: 99%

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Incidence of Stress-Induced Hyperglycemia in Acute Ischemic Stroke: A Systematic Review and Meta-Analysis

et al. 2023

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The aim of this study was to systematically evaluate the incidence of stress-induced hyperglycemia (SIH) in acute ischemic stroke (AIS). Studies that reported SIH incidence in AIS and examined risk factors for SIH and non-SIH patients were systematically searched in PubMed, Embase, Cochrane Library, and Web of Science from the inception of each database to December 2021. Article screening and data extraction were performed by two independent reviewers according to the inclusion and exclusion criteria. The quality of the included studies was assessed using the Newcastle–Ottawa Scale (NOS), and meta-analysis was performed using Stata. A total of 13 studies involving 4552 patients (977 in the SIH group and 3575 in the non-SIH group) were included. Meta-analysis showed that the incidence of SIH was 24% (95% CI: 21–27%) in the total population, 33% (14–52%) in North America, 25% (20–29%) in Europe, and 21% (12–29%) in Asia. Subgroup analysis by year of publication revealed that the pooled incidence of SIH was 27% (22–32%) in studies published before 2010 and 19% (14–24%) in those published after 2010. SIH is relatively common in AIS and poses a serious public health problem. Therefore, more emphasis should be placed on the prevention and control of SIH in AIS.

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Section: Resultsmentioning

confidence: 99%

“… Sensitivity analysis plot. Refs [ 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 ] mentioned. …”

Section: Figurementioning

confidence: 99%

“… Publication bias plot. Each circle represents a retrospective cohort study [ 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 ]. …”

Section: Figurementioning

confidence: 99%

Section: Figurementioning

confidence: 99%

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Incidence of Stress-Induced Hyperglycemia in Acute Ischemic Stroke: A Systematic Review and Meta-Analysis

et al. 2023

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“…6 The presence of hyperglycemia as a result of stress can be found in approximately 20-50% of patients who have presented with acute ischemic stroke. 7 Patients admitted with hyperglycemia after suffering an acute ischemic stroke have a higher risk of death while hospitalised, resulting in greater costs and spending more time in the hospital, according to a recent study. 8 Many patients with acute stress situations, such as stroke, may acquire stress hyperglycemia even if they have never had diabetes mellitus before.…”

Section: Introductionmentioning

confidence: 99%

Study of Stress Hyperglycemia as a Prognostic Factor in Acute Ischemic Stroke at a Tertiary Care Hospital

Zafar¹,

Malik²,

Aftab³

et al. 2022

PJMHS

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Background: The second most prevalent cause of disability and death worldwide, stroke is silently taking on the characteristics of an epidemic. Almost 85% of the all strokes are ischemic strokes. Objective: To assess the stress hyperglycemia as a prognostic factor in acute ischemic stroke at a tertiary care hospital. Design of the Study: It was a case control study. Place and Duration of Study: This study was conducted at the Department of medicine & Allied Services Hospital Lahore from March 2022 August 2022. Patients and Methods: Total 100 patients with Computerized Tomography (CT) Brain evidence of acute ischemic stroke who met the inclusion criteria were included in the study. At admission, a thorough history was taken and clinical examination was performed. The National Institutes of Health Stroke Scale (NIHSS scale) was used to measure the patient’s neurological state. Fasting Blood sugar (FBS) and Glycosylated Hemoglobin (HBA1c) were performed. Patients' functional recovery was measured by comparing their NIHSS scores on the day of admission and after 7 days in the hospital. Results of the Study: Most of the patients enrolled in our study had age of 61 to 70 years. In study sample 56% of patients were male and 44% were female. Out of 100 patients 56 had stress hyperglycemia and 44 were without stress hyperglycemia. Functional recovery was greater in patients with normoglycemia than in patients with stress hyperglycemia (based on differences in NIHSS score on day one and day seven). The mortality was observed to be 9.2% in patients who had stress hyperglycemia. The mean NIHSS scores was 3.45±1.64 in patients with stress hyperglycemia and 4.50 ± 1.05 was in participants with normoglycemia. Practical Implication: The present study was carried out to know whether stress hyperglycemia can be a prognostic marker in patients of acute ischemic stroke. Conclusion: When compared to patients with stress hyperglycemia, functional recovery was better in patients with normoglycemia. This study demonstrates that patients with normoglycemia had greater functional recovery as compared to patients with stress hyperglycemia, as measured by the difference between the NIHSS scores. As a result, patients with normoglycemia had better outcomes than those with stress hyperglycemia. Keywords: Stress hyperglycemia, Normoglycemia, Acute Ischemic Stroke, Prognostic Factor, NIHSS

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Progressing Neurological Deficit Secondary to Acute Ischemic Stroke

et al. 1995

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Does hyperglycaemia play a role on the outcome of acute ischaemic stroke patients?

Cited by 79 publications

References 29 publications

Incidence of Stress-Induced Hyperglycemia in Acute Ischemic Stroke: A Systematic Review and Meta-Analysis

Incidence of Stress-Induced Hyperglycemia in Acute Ischemic Stroke: A Systematic Review and Meta-Analysis

Study of Stress Hyperglycemia as a Prognostic Factor in Acute Ischemic Stroke at a Tertiary Care Hospital

Progressing Neurological Deficit Secondary to Acute Ischemic Stroke

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