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

Impaired glucose regulation predicted 1-year mortality of chinese patients with ischemic stroke: data from abnormal glucose regulation in patients with acute stroke across china

First author:Qian Jia

Corresponding author:Yongjun Wang

essential_information

  • Person in charge:Qian Jia
  • Data Sources: ACROSS-CHINA
  • Number of papers:ACROSS-CHINA20160035
  • Published time:2014-03-29

2014-03-29

Published articles

Journal:Stroke

Publication type: Original Contributions

IF(IF): 7.914

PMID: 26303789 Link To Pubmed Full text Download

Background And Purpose

BACKGROUND AND PURPOSE: It remains uncertain if impaired glucose regulation (IGR) as a predictor for stroke outcomes. This study aimed at observing the effect of IGR on the 1-year outcomes in Chinese patients with ischemic stroke. METHODS: Patients with acute ischemic stroke were recruited consecutively in multihospitals across China. Oral glucose tolerance test was performed to identify IGR. Cox proportion hazard model was performed to investigate the effect of IGR on 1-year mortality or stroke recurrence in patients with ischemic stroke. RESULTS: The study recruited 2639 patients with ischemic stroke. IGR was shown as an independent risk factor for the mortality of patients with ischemic stroke (hazard ratio [95% confidence interval], 3.088 [1.386-6.884]; P=0.006). However, IGR showed no significant effects on the dependency or stroke recurrence of patients (P=0.540 and 0.618, respectively). CONCLUSIONS: IGR was an independent predictor for the mortality of patients with ischemic stroke. IGR should be highlighted and intervened actively in the patients with ischemic stroke.

Method

Patients with acute ischemic stroke were recruited consecutively in multihospitals across China. Oral glucose tolerance test was performed to identify IGR. Cox proportion hazard model was performed to investigate the effect of IGR on 1-year mortality or stroke recurrence in patients with ischemic stroke.

Conclusion

IGR was an independent predictor for the mortality of patients with ischemic stroke. IGR should be highlighted and intervened actively in the patients with ischemic stroke.

Main results

The study recruited 2639 patients with ischemic stroke. IGR was shown as an independent risk factor for the mortality of patients with ischemic stroke (hazard ratio [95% confidence interval], 3.088 [1.386-6.884]; P=0.006). However, IGR showed no significant effects on the dependency or stroke recurrence of patients (P=0.540 and 0.618, respectively).