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Systematic review of descriptive cohort studies on the dynamics of glycaemia among adults admitted to hospital with acute stroke
Aim This article presents the results of a systematic review of descriptive cohort studies on the dynamics of glycaemia among adults admitted to hospital with acute stroke. Background Hyperglycaemia is common among adults admitted to hospital with stroke. Design Systematic review. Data sources A sea...
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| Published in: | Journal of advanced nursing 2013-03, Vol.69 (3), p.500-513 |
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| Format: | Article |
| Language: | English |
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| container_issue | 3 |
| container_start_page | 500 |
| container_title | Journal of advanced nursing |
| container_volume | 69 |
| creator | Laird, Elizabeth A. Coates, Vivien Chaney, David |
| description | Aim
This article presents the results of a systematic review of descriptive cohort studies on the dynamics of glycaemia among adults admitted to hospital with acute stroke.
Background
Hyperglycaemia is common among adults admitted to hospital with stroke.
Design
Systematic review.
Data sources
A search for descriptive cohort studies published between January 1996–June 2011, was conducted in MEDLINE, PubMed and Embase electronic databases. The search was performed using the terms ‘stroke’, ‘hyperglycaemia’ and/or ‘glucose’ combined and limited to adults and English language publications. Searching of citations from identified studies supplemented the electronic searches.
Review methods
A systematic review was conducted of eight studies, meeting the criteria of: (1) descriptive cohort studies; (2) adults admitted to hospital with acute stroke; and (3) glycaemic status monitored over at least two consecutive days from admission to hospital. The review adheres to the Preferred Reporting Items for Systematic Reviews and Meta‐Analysis standards.
Results
The dynamics of glycaemia after stroke has been investigated in seven prospective cohort studies and one retrospective study. The patterns that emerged were persisting normoglycaemia, transient hyperglycaemia, persisting hyperglycaemia and delayed hyperglycaemia. Surges in glycaemia are likely on days 2 and 3 and some adults will not exhibit hyperglycaemia till day 7.
Conclusion
Further large cohort studies are required to explore the dynamic of glycaemia after stroke for at least 1 week duration. The timing of formal screening for diabetes mellitus is important, as early screening may overestimate detection rates. |
| doi_str_mv | 10.1111/j.1365-2648.2012.06094.x |
| format | article |
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This article presents the results of a systematic review of descriptive cohort studies on the dynamics of glycaemia among adults admitted to hospital with acute stroke.
Background
Hyperglycaemia is common among adults admitted to hospital with stroke.
Design
Systematic review.
Data sources
A search for descriptive cohort studies published between January 1996–June 2011, was conducted in MEDLINE, PubMed and Embase electronic databases. The search was performed using the terms ‘stroke’, ‘hyperglycaemia’ and/or ‘glucose’ combined and limited to adults and English language publications. Searching of citations from identified studies supplemented the electronic searches.
Review methods
A systematic review was conducted of eight studies, meeting the criteria of: (1) descriptive cohort studies; (2) adults admitted to hospital with acute stroke; and (3) glycaemic status monitored over at least two consecutive days from admission to hospital. The review adheres to the Preferred Reporting Items for Systematic Reviews and Meta‐Analysis standards.
Results
The dynamics of glycaemia after stroke has been investigated in seven prospective cohort studies and one retrospective study. The patterns that emerged were persisting normoglycaemia, transient hyperglycaemia, persisting hyperglycaemia and delayed hyperglycaemia. Surges in glycaemia are likely on days 2 and 3 and some adults will not exhibit hyperglycaemia till day 7.
Conclusion
Further large cohort studies are required to explore the dynamic of glycaemia after stroke for at least 1 week duration. The timing of formal screening for diabetes mellitus is important, as early screening may overestimate detection rates.</description><identifier>ISSN: 0309-2402</identifier><identifier>EISSN: 1365-2648</identifier><identifier>DOI: 10.1111/j.1365-2648.2012.06094.x</identifier><identifier>PMID: 22788118</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>Cohort Studies ; descriptive cohort studies ; Diabetes ; Hospitalization ; Humans ; hyperglycaemia ; Hyperglycemia ; Hyperglycemia - classification ; Hyperglycemia - complications ; literature review ; Medical screening ; Meta-analysis ; Nursing ; Patient admissions ; Prognosis ; Risk Factors ; Stroke ; Stroke - complications ; Systematic review ; Time Factors</subject><ispartof>Journal of advanced nursing, 2013-03, Vol.69 (3), p.500-513</ispartof><rights>2012 Blackwell Publishing Ltd</rights><rights>2012 Blackwell Publishing Ltd.</rights><rights>Copyright Blackwell Publishing Ltd. Mar 2013</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4354-a1112e98ae653763b6d2464c4641fb76fd7c9fac57405c7c62032731a7e1a16b3</citedby><cites>FETCH-LOGICAL-c4354-a1112e98ae653763b6d2464c4641fb76fd7c9fac57405c7c62032731a7e1a16b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925,30999</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22788118$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Laird, Elizabeth A.</creatorcontrib><creatorcontrib>Coates, Vivien</creatorcontrib><creatorcontrib>Chaney, David</creatorcontrib><title>Systematic review of descriptive cohort studies on the dynamics of glycaemia among adults admitted to hospital with acute stroke</title><title>Journal of advanced nursing</title><addtitle>J Adv Nurs</addtitle><description>Aim
This article presents the results of a systematic review of descriptive cohort studies on the dynamics of glycaemia among adults admitted to hospital with acute stroke.
Background
Hyperglycaemia is common among adults admitted to hospital with stroke.
Design
Systematic review.
Data sources
A search for descriptive cohort studies published between January 1996–June 2011, was conducted in MEDLINE, PubMed and Embase electronic databases. The search was performed using the terms ‘stroke’, ‘hyperglycaemia’ and/or ‘glucose’ combined and limited to adults and English language publications. Searching of citations from identified studies supplemented the electronic searches.
Review methods
A systematic review was conducted of eight studies, meeting the criteria of: (1) descriptive cohort studies; (2) adults admitted to hospital with acute stroke; and (3) glycaemic status monitored over at least two consecutive days from admission to hospital. The review adheres to the Preferred Reporting Items for Systematic Reviews and Meta‐Analysis standards.
Results
The dynamics of glycaemia after stroke has been investigated in seven prospective cohort studies and one retrospective study. The patterns that emerged were persisting normoglycaemia, transient hyperglycaemia, persisting hyperglycaemia and delayed hyperglycaemia. Surges in glycaemia are likely on days 2 and 3 and some adults will not exhibit hyperglycaemia till day 7.
Conclusion
Further large cohort studies are required to explore the dynamic of glycaemia after stroke for at least 1 week duration. The timing of formal screening for diabetes mellitus is important, as early screening may overestimate detection rates.</description><subject>Cohort Studies</subject><subject>descriptive cohort studies</subject><subject>Diabetes</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>hyperglycaemia</subject><subject>Hyperglycemia</subject><subject>Hyperglycemia - classification</subject><subject>Hyperglycemia - complications</subject><subject>literature review</subject><subject>Medical screening</subject><subject>Meta-analysis</subject><subject>Nursing</subject><subject>Patient admissions</subject><subject>Prognosis</subject><subject>Risk Factors</subject><subject>Stroke</subject><subject>Stroke - complications</subject><subject>Systematic review</subject><subject>Time Factors</subject><issn>0309-2402</issn><issn>1365-2648</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><recordid>eNqNkc1u1DAURi0EokPhFZAlNmwS_JPYyYJFVUEBtUUqRZXYWB7npuNpEg-205ns-uh1mDILVliyriWf715bByFMSU7T-rDOKRdlxkRR5YxQlhNB6iLfPUOLw8VztCCc1BkrCDtCr0JYE0I5Y-wlOmJMVhWl1QI9_JhChF5Ha7CHewtb7FrcQDDebqK9B2zcyvmIQxwbCwG7AccV4GYadG9NmOnbbjIaequx7t1wi3UzdjGk0tsYocHR4ZULGxt1h7c2rrA2Y4TU0bs7eI1etLoL8OapHqOfnz9dn37Jzr-ffT09Oc9Mwcsi0-nbDOpKgyi5FHwpGlaIwqRN26UUbSNN3WpTyoKURhrBCGeSUy2BaiqW_Bi93_fdePd7hBBVb4OBrtMDuDEoyqqKk4rRMqHv_kHXbvRDel2iasoYr4lIVLWnjHcheGjVxtte-0lRomZLaq1mGWqWoWZL6o8ltUvRt08DxmUPzSH4V0sCPu6Bre1g-u_G6tvJ5XxK-Wyft0nu7pDX_k4JyWWpbi7P1NUF-3VdX1ypG_4Iq9Kwuw</recordid><startdate>201303</startdate><enddate>201303</enddate><creator>Laird, Elizabeth A.</creator><creator>Coates, Vivien</creator><creator>Chaney, David</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>201303</creationdate><title>Systematic review of descriptive cohort studies on the dynamics of glycaemia among adults admitted to hospital with acute stroke</title><author>Laird, Elizabeth A. ; Coates, Vivien ; Chaney, David</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4354-a1112e98ae653763b6d2464c4641fb76fd7c9fac57405c7c62032731a7e1a16b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Cohort Studies</topic><topic>descriptive cohort studies</topic><topic>Diabetes</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>hyperglycaemia</topic><topic>Hyperglycemia</topic><topic>Hyperglycemia - classification</topic><topic>Hyperglycemia - complications</topic><topic>literature review</topic><topic>Medical screening</topic><topic>Meta-analysis</topic><topic>Nursing</topic><topic>Patient admissions</topic><topic>Prognosis</topic><topic>Risk Factors</topic><topic>Stroke</topic><topic>Stroke - complications</topic><topic>Systematic review</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Laird, Elizabeth A.</creatorcontrib><creatorcontrib>Coates, Vivien</creatorcontrib><creatorcontrib>Chaney, David</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of advanced nursing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Laird, Elizabeth A.</au><au>Coates, Vivien</au><au>Chaney, David</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Systematic review of descriptive cohort studies on the dynamics of glycaemia among adults admitted to hospital with acute stroke</atitle><jtitle>Journal of advanced nursing</jtitle><addtitle>J Adv Nurs</addtitle><date>2013-03</date><risdate>2013</risdate><volume>69</volume><issue>3</issue><spage>500</spage><epage>513</epage><pages>500-513</pages><issn>0309-2402</issn><eissn>1365-2648</eissn><abstract>Aim
This article presents the results of a systematic review of descriptive cohort studies on the dynamics of glycaemia among adults admitted to hospital with acute stroke.
Background
Hyperglycaemia is common among adults admitted to hospital with stroke.
Design
Systematic review.
Data sources
A search for descriptive cohort studies published between January 1996–June 2011, was conducted in MEDLINE, PubMed and Embase electronic databases. The search was performed using the terms ‘stroke’, ‘hyperglycaemia’ and/or ‘glucose’ combined and limited to adults and English language publications. Searching of citations from identified studies supplemented the electronic searches.
Review methods
A systematic review was conducted of eight studies, meeting the criteria of: (1) descriptive cohort studies; (2) adults admitted to hospital with acute stroke; and (3) glycaemic status monitored over at least two consecutive days from admission to hospital. The review adheres to the Preferred Reporting Items for Systematic Reviews and Meta‐Analysis standards.
Results
The dynamics of glycaemia after stroke has been investigated in seven prospective cohort studies and one retrospective study. The patterns that emerged were persisting normoglycaemia, transient hyperglycaemia, persisting hyperglycaemia and delayed hyperglycaemia. Surges in glycaemia are likely on days 2 and 3 and some adults will not exhibit hyperglycaemia till day 7.
Conclusion
Further large cohort studies are required to explore the dynamic of glycaemia after stroke for at least 1 week duration. The timing of formal screening for diabetes mellitus is important, as early screening may overestimate detection rates.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>22788118</pmid><doi>10.1111/j.1365-2648.2012.06094.x</doi><tpages>14</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0309-2402 |
| ispartof | Journal of advanced nursing, 2013-03, Vol.69 (3), p.500-513 |
| issn | 0309-2402 1365-2648 |
| language | eng |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); Wiley-Blackwell Read & Publish Collection |
| subjects | Cohort Studies descriptive cohort studies Diabetes Hospitalization Humans hyperglycaemia Hyperglycemia Hyperglycemia - classification Hyperglycemia - complications literature review Medical screening Meta-analysis Nursing Patient admissions Prognosis Risk Factors Stroke Stroke - complications Systematic review Time Factors |
| title | Systematic review of descriptive cohort studies on the dynamics of glycaemia among adults admitted to hospital with acute stroke |
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