A Study On The Clinical Outcome In Ischemic Stroke Patient With Hyperglycemia In A Tertiary Care Hospital Of Southern Bihar

Abstract

Background: Previous research has been able to establish an association between diabetes/ increased sugar levels and increased mortality, length of hospital stay, readmission rates, and poorer functional and rehabilitation outcomes after stroke. The present study was done to assess the link of the blood sugar levels with acute stroke and thereby evaluate the severity and prognosis of stroke with reference to hyperglycemia.Materials and method: The blood sugar and HbA1C levels at the time of admission were recorded. The severity of stroke for each patient is calculated based on NIH stroke scale, which takes the clinical findings in to account and each criteria awarded specific points. The Student's t-test was applied for the comparing the mean values, Chi-square test for the comparison of frequencies and Spearman’s correlation test for correlation between the 2 variables.Results: Maximum number of the subjects in the present study belonged to the age group of 51-60 years with predominance among the males. High sugar levels as assessed by Random blood sugar and HbA1C levels was associated with increased severity of stroke as per NIH stroke class severity and poor functional outcome as well as the mortality.

Conclusion: There is a linear correlation between admission day hyperglycemia and the severity of ischemic stroke. There is a good correlation between glucose level at the time of admission and the ischemic stroke outcome.

Keywords: Diabetes mellitus, HbA1C level, Blood sugar level, Ischemic Stroke