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High blood sugar during hospitalization can indicate poor prognostic prognosticity after stroke.
, researchers assessed the association between blood sugar levels in patients receiving in-vasovascular treatment and clinical outcomes in a study published in the leading journal of cardiovascular disease.
the researchers selected adult patients with pre-circulating large vascular thusion closure who received in-vascular treatment and received in-patient blood sugar data.
researchers assessed the association between hospitalization blood sugar and a 90-day improved Rankin scale score, symptomatic intracranial bleeding, and successful refill rates.
high blood sugar is defined as hospitalization ≥ 7.8mmol/L.
researchers used multivariate ordered Logistic regression to assess the association between blood sugar and the improved Rankin scale, and to assess whether successful refilling (brain infarction 2b-3 expansion thrombosis) changed the association.
the study included 2,908 people.
median blood glucose concentration was 6.8 mmol/L (with a four-digit range of 5.9-8.1) and 882 (30%) patients were associated with hyperglycemia.
Compared to patients with non-hyperglycemia, high blood sugar and functional deterioration in hospital (improved Rankin scale score 4 vs. 3 points; adjusted total ratio ratio of 1.69 (95% CI 1.44-1.99)), increased mortality (40% vs. vs. 23%; adjusted ratio of 1.95 (95% CI 1.60-2.38)), increased risk of symptomatic intracranial bleeding (9% vs. 5%) and adjusted ratio of 1.94 (95% CI of 1.41-2.66) were associated.
the association between admitted blood sugar levels and the patient's poor prognostic (improved Rankin scale score 3-6) was J-shaped.
blood sugar is independent of successful refill rate, and successful refurfusion does not change the relationship between blood sugar and functional outcomes.
, it can be seen that the increased blood sugar in hospital is associated with poor function and an increased risk of symptomatic intracranial bleeding after intracvascular treatment.
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