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| UDK 616.831-005.1-074 ; 616.153.454 |
ISSN 035-2899, 37(2012) br.3 p.145-149 |
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Original paper Glycaemia level and severity of neurologic deficits in patients with acute ischemic stroke Poznavanje i primena metoda kontracepcije među adolescentima u domu učenika srednjih škola u Zaječaru Saška Manić (1), Biljana Milošević (2), Milena Veličković (3) (1) Zdravstveni centar Zaječar, Neurološko odeljenje, (2) Filozofski fakultet Kosovska Mitrovica, (3) Fakultet medicinskih nauka u Kragujevcu |
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| Summary: INTRODUCTION: The phenomenon of increased glucose levels after acute stroke was already described in 1976. Hyperglycaemia is common in patients with acute ischemic stroke, occurring in up to 60% of patients, and approximately in 12–53% of acute ischemic stroke patients without prior diagnosis of diabetes. OBJECTIVE: 1. To determine which percentage of patients with acute ischemic stroke had stress hyperglycaemia, what is the percentage of diabetics with a high level of glucose in blood after the acute ischemic stroke and what is the percentage of newly diagnosed diabetics after the acute ischemic stroke. 2. To calculate the percentage of the total number of acute ischemic stroke patients whit hyperglycaemia. 3. To compare the severeness of neurological deficit with the level of glucose on admission of acute ischemic stroke patients. METHOD: Medical records of hospitalised patients at the Neurological Section of the General Hospital in Zaječar were analysed retrospectively, in the period from January until end of March 2012. This study included only patients suffering from acute ischemic stroke, 91 patients in total. The parameters that were followed included: age, sex, the level of glucose in blood, the presence in diabetes mellitus in history and the presence of newly diagnosed diabetes mellitus on release. Stroke severity was followed as well and it was retrospectively measured by the standardised NIHSS scale for measuring neurological deficit. RESULTS AND DISCUSSION: Of the total of 91 patients included in the, study there were 46 male and 45 female acute ischemic stroke patients, the mean age being 76.23 (SD 10.633). Of the total number of patients, including diabetics, hyperglycaemia on admission was present in 53.8% of patients, and 46.2% were normoglycaemic. 40.7% of patients were with normal glycaemia, and 28.6% with stress hyperglycaemia, 18.7% were with pre-existing diabetes mellitus in history, and 12.1% newly diagnosed diabetics. By comparing the levels of glucose in blood and neurological severity, a significant difference in glucose level between the light and severe neurological deficits and moderate and severe neurological deficits and levels of glucose were obtained so that the glucose level was the highest in severe neurological deficits (AS 11.313). CONCLUSION: As hyperglycaemia is present in a large percentage of patients with acute ischemic stroke, measuring of blood glucose levels, according to current clinical guidelines, should be performed routinely during the hospitalization of each patient. Key words: acute ischemic stroke, hyperglycaemia, diabetes mellitus, stress hyperglycaemia Napomena: kompletan tekst rada na srpskom jeziku Note: full text in Serbian |
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Corresponding Address: Saška Manić Zdravstveni centar Zaječar, Neurološko odeljenje e-mail: dr.saskamanic@yahoo.com |
Paper received: 15.4.2012 Paper accepted: 19.5.2012 Paper Internet issues: 27.12.2012 |
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