Long-term outcomes of patients with Acute Cerebrovascular Disease and admission Hyperglycemia at a tertiary hospital.
- Author:
Guillermo MANALO III
;
Marbert John CARDINO
;
Paul Matthew PASCO
- Publication Type:Journal Article, Original
- Keywords: Long-term OutcomesAcute Cerebrovascular DiseaseCerebrovascular DiseaseAdmission HyperglycemiaHyperglycemiaTertiary HospitalAdult PatientRankin ScoreDiabetesPrediabetesStress HyperglycemiaNormoglycemiaNormoglycemic Patients
- MeSH: Human; Adult (a Person 19-44 Years Of Age); Prediabetic State; Tertiary Care Centers; Charities; Follow-up Studies; Hyperglycemia; Diabetes Mellitus; Patient Admission; Patient Discharge; Stroke; Neurology
- From: Philippine Journal of Neurology 2009;13(2):56-56
- CountryPhilippines
-
Abstract:
OBJECTIVE: To describe the long-term outcomes of admission hyperglycemia among adult stroke patients admitted at a tertiary hospital.
METHODOLOGY: All patients admitted into the Charity Neurology Service were scored using modified Rankin score, NIHSS and Barthel Index on admission, three days, discharge, six weeks, three months and six months follow-up. Patients with admission hyperglycemia were further classified into those with diabetes, prediabetes and stress hyperglycemia.
RESULTS: Of the 443 patients admitted, 178 had admission hyperglycemia; 221 patients were discharged; 21 patients with admission hyperglycemia and 23 patients who were normoglycemic on admission returned for regular follow-up. Modified Rankin Scores and NIHSS were lower and Barthel Indices were higher among the normoglycemic patients as compared to those who were hyperglycemic on admission.
CONCLUSION: The cohort of patients with admission hyperglycemia had poorer functional outcomes in the long-term as compared to those with normoglycemia on admission.