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

《国家中心数据管理与共享系统操作说明书 —— 研究者部分》

Glycated hemoglobin independently or in combinatio

First author：Shuolin Wu

Corresponding author：Chunxue Wang

essential_information

  • Person in charge：Shuolin Wu
  • Data Sources： ACROSS-CHINA
  • Number of papers：ACROSS-CHINA20150034
  • Published time：2015-09-12

2015-09-12

Published articles

Journal：BMC Neurology

Publication type: Original Contributions

IF(IF): 2.474

PMID: 25209629 Link To Pubmed Full text Download

Background And Purpose

Background: The investigation of glycated hemoglobin (HbA1c) as a diagnostic tool for abnormal glycometabolism is lack in acute ischemic stroke patients in China and worldwide. This paper was aimed to determine whether HbA1c, fasting plasma glucose (FPG), or HbA1c combined with FPG, could be used to screen for diabetes mellitus (DM) or prediabetes in acute ischemic stroke patients without previous DM.

Method

Methods: Acute ischemic stroke patients without previous DM (n = 1,316) were selected from the Abnormal gluCose Regulation in Patients with Acute StrOke acrosS China Study (ACROSS-China). Oral glucose tolerance test (OGTT), HbA1c, FPG, and HbA1c combined with FPG were used as the screening methods to categorize the glycometabolic status. OGTT was taken as the golden method. Venn diagrams and the overlap index were used to determine the associations among the three methods of identifying abnormal glycometabolism. The area under the receiver operating characteristic curve (AUROC) and Youden index were used to assess and compare the accuracy in detecting abnormal glycometabolism. Youden analyses were performed to determine the ideal cutoff values of HbA1c in diagnosing abnormal glycometabolism.

Conclusion

Main results