Prevalence and In‑hospital outcomes of diabetes among acute ischemic stroke patients in china: results from the Chinese Stroke Center Alliance
第一作者:Guoliang Hu
通讯作者:Yilong Wang
2022-05-05
发表杂志:Journal of Neurology
发表类型: Original Contributions
影响因子(IF): 6.682
PMID: 35511281 Pubmed原文链接 全文下载
Guidelines have classified patients with acute ischemic stroke and diabetes as a special population, with specific sections presented for the management of these patients considering their extremely high risk. However, in China the up-to-date information regarding the burden of diabetes in patients with acute ischemic stroke is lacking and the potential impact of diabetes status on the in-hospital outcomes of these patients and its subtypes is unclear. This study aims to provide updated estimation for the burden of diabetes in patients with acute ischemic stroke in China and to evaluate whether diabetes is associated with higher risk of poor in-hospital outcomes for acute ischemic stroke patients and its different subtypes.
Continuous variables were shown as mean (standard deviation) and differences between groups were compared using t-tests; and categorical variables were presented as the number (percentage) and compared using chi-square test. We used logistic regression analyses to evaluate the association between diabetes and in-hospital outcomes. We also conducted a sensitivity analysis and subgroup analysis. Odds ratios between subgroups were compared using a Z-test. In addition, we conducted a propensity-score matched analysis to further confirm the association between diabetes and in-hospital outcomes. Statistical analyses were performed using SAS 9.4 (SAS Institute, Cary, NC, USA). Two-tailed P values of <0.05 were considered statistically significant.
Diabetes was highly prevalent among AIS patients in China and associated with worse in-hospital outcomes. Greater efforts to increase targeted approach to secondary prevention treatments of diabetes in AIS patients are warranted.