Hyperglycemia and its Association with Patients’ Mortality Among the Patients Presenting with Acute Stroke in Tertiary Care Hospital

Maryam Rana; Abdul Latif khattak; Muhammad Khalid Azam Khan; Raees Iqbal Khan; Syed Karamat Hussain Shah Bukhari; Faisal Mehmood

doi:10.51253/pafmj.v72i2.4909

Authors

Maryam Rana Combined Military Hospital Quetta/National University of Medical Sciences (NUMS) Pakistan
Abdul Latif khattak Combined Military Hospital Lahore/ National University of Medical Sciences (NUMS) Pakistan
Muhammad Khalid Azam Khan Combined Military Hospital Lahore/ National University of Medical Sciences (NUMS) Pakistan
Raees Iqbal Khan Combined Military Hospital Lahore/ National University of Medical Sciences (NUMS) Pakistan
Syed Karamat Hussain Shah Bukhari Combined Military Hospital Lahore/ National University of Medical Sciences (NUMS) Pakistan
Faisal Mehmood Combined Military Hospital Lahore/ National University of Medical Sciences (NUMS) Pakistan

DOI:

https://doi.org/10.51253/pafmj.v72i2.4909

Keywords:

Acute stroke, Hyperglycemia, Mortality

Abstract

Objectives: To estimate the occurrence of hyperglycemia in patients with cerebrovascular accident (ischemic) to compare the frequency of mortality among the patients with and without hyperglycemia presenting with acute CVA.

Study Design: Descriptive cross-sectional study.

Place and Duration of Study: Department of General Medicine, Combined Military Hospital Quetta Pakistan, from May 2018 to May 2019

Methodology: A total of 347 patients of both genders diagnosed with acute stroke were included. Blood glucose levels were evaluated and hyperglycemic and normo-glycemic patients were identified. CT scan was performed. Standard treatment was provided to the patients according to the type of stroke (ischemic or hemorrhagic). These patients were discharged.

Results: Patients in this study was having age range of 20 to 70 years.SO mean age of 53.76 ± 9.08 years. Many patients 283 (81.56%) were of 45-71 years of age. 183 (52.74%) were of male gender and 164 (47.26%) were females. We have found hyperglycemia in 96 (27.67%) patients. There was no hyperglycemia observed in 251(72.33%) patients. Frequency of hyperglycemia was 12.97%. Frequency of mortality was 30.21% in hyperglycemic patients vs. 6.37% in normo-glycemic patients (p=0.0001).

Conclusion: Frequency of hyperglycemia with acute stroke is high with high mortality among the patients presenting with acute stroke as compared to normo-glycemic.