The Effect of Blood Glucose Value on the Short-term Mortality of Acute Ischemic Stroke

• Published in: Eurasian journal of emergency medicine 2021-06, Vol.20 (2), p.79-85
• Main Authors: Tokgöz, Osman Serhat, Karakurt, Feridun, Buğrul, Ahmet
• Format: Article
• Language: English
• Subjects: Archives & records; Cardiovascular disease; Cerebrovascular disease; Coma; Edema; Emergency medical care; Glucose; Hemoglobin; Hospitals; Hyperglycemia; Hypertension; Intracranial pressure; Ischemia; Medical prognosis; Morbidity; Mortality; outcome; Patients; Regression analysis; Risk factors; Stroke; Survival analysis
• ISSN: 2149-5807; 2149-6048
• DOI: 10.4274/eajem.galenos.2020.28247

Aim: This study aimed to examine the relationship between short-term mortality and blood glucose values (BGV) obtained during the first week of ischemic stroke, when neurological causes, such as increased intracranial pressure, are mainly predominant in mortality prediction. Materials and Methods: This is a retrospective study that includes 417 patients with acute ischemic stroke (AIS), who were admitted to our hospital within the first 24 hours of the stroke. Data were recorded using the International Classification of Diseases Code. On the first, third, fifth, and seventh days of the stroke, the effect of BGV on the patient’s functional outcome was evaluated. Results: Of 417 patients, 90 (21.58%) died within a one-month follow-up period. There was no difference between the mortality and survival groups in terms of diabetes mellitus (DM) history (χ2=0.783; p=0.224). On the first, third, fifth, and seventh day of the stroke, BGV were significantly higher in the mortality group (130.5 mg/dL, 124.5 mg/dL, 133.5 mg/dL, and 132.5 mg/dL, respectively, according to the receiver operating characteristic analysis) than in the survival group (p