国家神经系统疾病临床医学研究中心数据管理与共享系统

Data Management And Sharing System of China National Clinical Research Center for Neurological Diseases

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

Acute ischemic stroke Prevalence In-hospital outcomes Mortality MACEs

基本信息

  • 负责人:Guoliang Hu
  • 数据来源: CSCA
  • 论文编号:CSCA20210048
  • 发表时间:2022-05-05

2022-05-05

已发表文章

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

主要研究背景及目的

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.

方法

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.

结论

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.

主要结果