From: Prognostic significance of diabetes and stress hyperglycemia in acute stroke patients
Group | P value | ||||
---|---|---|---|---|---|
0 (N = 884) | 1 (N = 73) | 2 (N = 101) | 3 (N = 161) | ||
General characteristics | |||||
Blood glucose (mmol/l) | 4.89 [4.39–5.50] | 7.44 [7.17–8.00] | 5.83 [5.11–6.33]d0 | 9.44 [8.11–11.67]d1 | – |
In-hospital insulin treatment | 17 (1.9) | 7 (9.6)d0 | 58 (57.4)d0d1 | 131 (81.4)d0d1d2 | < 0.0001 |
HbA1c (%) | – | 5.9 [5.6–6.2] | 6.8 [6.3–7.4] | 7.6 [6.9–8.5]d2 | – |
Age (years) | 73.7 ± 13.7 | 73.2 ± 12.8 | 74.2 ± 10.6 | 73.5 ± 10.7 | 0.97 |
Male sex | 427 (48.3) | 41 (56.2) | 57 (56.4) | 99 (61.5)b0 | 0.009 |
Hypertension | 730 (82.6) | 64 (87.7) | 94 (93.1)b0 | 147 (91.3)b0 | 0.002 |
Hypercholesterolemia | 567 (64.1) | 40 (54.8) | 66 (65.3) | 98 (60.9) | 0.37 |
Hypertriglyceridemia | 60 (6.8) | 9 (12.3) | 14 (13.9)b0 | 36 (22.4)d0 | < 0.0001 |
HDL Hypocholesterolemia | 113 (12.8) | 13 (17.8) | 20 (19.8)a0 | 40 (24.8)d0 | 0.0005 |
Ever smoker | 365 (41.3) | 31 (42.5) | 49 (48.5) | 71 (44.1) | 0.54 |
Alcohol drinker | 155 (17.5) | 14 (19.2) | 14 (13.9) | 21 (13.0) | 0.41 |
Carotid stenosis ≥ 50%* | 232 (30.6) | 26 (43.3) | 45 (48.9)c0a3 | 48 (33.3) | 0.002 |
Atrial fibrillation | 277 (31.3) | 31 (42.5)a0a3 | 36 (35.6) | 45 (28.0) | 0.13 |
Chronic kidney disease | 79 (8.9) | 8 (11.0) | 14 (13.9) | 30 (18.6)c0 | 0.002 |
Previous myocardial infarction | 95 (10.7) | 12 (16.4) | 26 (25.7)d0 | 36 (22.4)d0 | < 0.0001 |
Previous stroke | 112 (12.7) | 14 (19.2)a3 | 23 (22.8)b0b3 | 15 (9.3) | 0.006 |
Peripheral artery disease | 39 (4.4) | 4 (5.5) | 14 (13.9)d0 | 15 (9.3)b0 | 0.0004 |
Previous arterial revascularizations | 65 (7.4) | 12 (16.4)b0 | 19 (18.8)d0 | 23 (14.3)b0 | < 0.0001 |
TOAST classification* | |||||
Large artery | 125 (16.5) | 10 (16.7) | 22 (23.9) | 25 (17.4) | 0.36 |
Cardioembolism | 228 (30.0) | 22 (36.7) | 26 (28.3) | 40 (27.8) | 0.63 |
Small artery | 136 (17.9)a1 | 4 (6.7) | 15 (16.3) | 44 (30.6)c0c1b2 | 0.0002 |
Other determined | 22 (2.9) | 3 (5.0) | 4 (4.3) | 2 (1.4) | 0.43 |
Undetermined | 248 (32.7) | 21 (35.0) | 25 (27.2) | 33 (22.9) | 0.09 |
i.v. Thrombolysis* | 135 (17.8) | 9 (15.0) | 14 (15.2) | 14 (9.7)a0 | 0.11 |
Stroke severity indicators | |||||
NIHSS score | 7 [3–14] | 12 [6–18]d0c2a3 | 6 [3–14] | 8 [4–14]a0 | < 0.0001 |
Cerebral lesion diameter (cm) | 2.7 [1.1–4.7] | 4.2 [1.8–6.7]d0c2a3 | 2.3 [0.9–4.6] | 2.4 [0.9–4.9] | 0.005 |
OCSP classification* | |||||
LACS | 171 (22.5) | 4 (6.7)a0b2b3 | 24 (26.1) | 37 (25.7) | 0.02 |
PACS | 305 (40.2) | 27 (45.0) | 36 (39.1) | 44 (30.6) | 0.13 |
TACS | 163 (21.5) | 22 (36.6)b0 | 22 (23.9) | 35 (24.3) | 0.06 |
POCS | 120 (15.8) | 7 (11.7) | 10 (10.9) | 28 (19.4) | 0.27 |
Hemorrhagic stroke | 125 (14.1) | 13 (17.8) | 9 (8.9) | 17 (10.6) | 0.21 |
“Typical” deep location | 81 (64.8) | 6 (46.2) | 6 (66.7) | 13 (76.5) | 0.39 |
“Atypical” lobar location | 44 (35.2) | 7 (53.8) | 3 (33.3) | 4 (23.5) | 0.39 |
Acute phase markers | |||||
Leukocytes (109/l) | 8.26 [6.77–10.16] | 9.95 [8.11–12.71]d0c2a3 | 8.43 [6.88–10.31] | 9.43 [7.46–11.16]c0 | < 0.0001 |
C-reactive protein (mg/dl) | 0.77 [0.29–2.52] | 1.72 [0.65–4.51]c0c2c3 | 0.63 [0.32–2.22] | 0.82 [0.35–2.35] | 0.002 |
Fever | 250 (28.3) | 35 (47.9)c0a2a3 | 32 (31.7) | 59 (36.6) | 0.002 |
Outcomes | |||||
Modified Rankin scale ≥ 3 | 624 (70.6) | 62 (84.9)b0b2 | 69 (68.3) | 131 (81.4)b0a2 | 0.002 |
Death | 48 (5.4) | 10 (13.7)b0 | 8 (7.9) | 25 (15.5)d0 | < 0.0001 |
Cerebral edema | 317 (35.9) | 42 (57.5)c0d2c3 | 29 (28.7) | 61 (37.9) | 0.0008 |
Hemorrhagic transformation* | 139 (18.3) | 25 (41.7)d0b2c3 | 18 (19.6) | 26 (18.1) | 0.0002 |
Fever | 250 (28.3) | 35 (47.9)c0a2a3 | 32 (31.7) | 59 (36.6) | 0.002 |
Oxygen administration | 187 (21.2) | 30 (41.1)d0b2 | 23 (22.8) | 53 (32.9)c0 | < 0.0001 |
Pneumonia | 41 (4.6) | 8 (11.0)a0 | 6 (5.9) | 7 (4.3) | 0.12 |
Sepsis | 26 (2.9) | 5 (6.8) | 5 (5.0) | 7 (4.3) | 0.24 |
Urinary infection | 82 (9.3) | 6 (8.2) | 8 (7.9) | 8 (5.0) | 0.35 |
Heart failure | 48 (5.4) | 8 (11.0)a0 | 7 (6.9) | 11 (6.8) | 0.26 |