Authors: Zhang, X-D.¹; Chen, Y-R.²; Ge, L.²; Ge, Z-M.³; Zhang, Y-H.⁴

Source: The Journal of International Medical Research, Volume 35, Number 4, July 2007 , pp. 540-546(7)

Publisher: Field House Publishing

Abstract:

In this study, demographic characteristics, risk factors, stroke subtypes and outcome were compared in 2532 patients with and without diabetes hospitalized for first-ever stroke. Diabetes was present in 471 (18.6%) of the patients. Patients with diabetes presented more frequently with ischaemic stroke (92.1% versus 71.3%), especially lacunar infarction (41.2% versus 35.2%), compared with non-diabetics. Cerebral haemorrhage was less frequent in diabetics than non-diabetics (4.2% versus 18.1%). In-hospital mortality rates from ischaemic stroke were similar in the two groups (18.2% in diabetics and 16.9% in non-diabetics). Predictors of in-hospital mortality in diabetic patients included decreased consciousness, congestive heart failure and atrial fibrillation. In conclusion, stroke in diabetic patients was different to stroke in non-diabetic patients: in diabetics the frequency of cerebral haemorrhage was lower and the rate of lacunar infarct syndrome was higher, but in-hospital mortality from ischaemic stroke was not increased. Clinical factors evident at the onset of stroke have a major influence on in-hospital mortality and may help clinicians provide a more accurate prognosis.

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Keywords: DIABETES MELLITUS; STROKE; SUBTYPE; MORTALITY

Document Type: Case report

Affiliations: 1: School of Life Science, Lanzhou University, Lanzhou 730000, The People's Republic of China; Department of Neurology, Gansu Province People's Hospital, Lanzhou 730000, The People's Republic of China 2: Department of Neurology, Gansu Province People's Hospital, Lanzhou 730000, The People's Republic of China 3: Department of Neurology, Second Hospital of Lanzhou University, Lanzhou 730030, The People's Republic of China 4: Department of Neurology, First Hospital of Lanzhou University, Lanzhou 730000, The People's Republic of China

Publication date: 2007-07-01

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