We aimed to validate prognostic value of elevated admission blood glucose (ABG) for clinical outcomes in diabetic and non-diabetic patients with intracerebral hemorrhage (ICH) in a representative large cohort. Data of ICH patients with onset time <= 24 h were derived from the China National Stroke Registry. Clinical outcomes included 3-month poor outcome (death or dependency) and death. Logistic regression was performed for the association between ABG and clinical outcomes, both in the entire cohort and in patients with and without diabetes mellitus. 2951 ICH patients were enrolled, including 267 (9.0%) diabetics. In the entire cohort, there was a trend to increased risk of poor outcome with increasing ABG levels (adjusted OR 1.09; 95% CI, 1.04-1.15; P < 0.001). The risk of poor outcome was significantly greatest for the highest quartile (>= 7.53 mmol/L) of ABG (adjusted OR 1.54; 95% CI, 1.17-2.03; p = 0.002, P for trend 0.004). We got similar association in non-diabetics but not in diabetics. Elevated ABG confers a higher risk of poor outcome in non-diabetics than diabetics with similar glucose level. Elevated ABG is an independent predictor of 3-month poor outcome in ICH patients, the prognostic value of which is greater in non-diabetics than diabetics with similar glucose level.
基金:
Ministry of Science and Technology of the People's Republic of ChinaMinistry of Science and Technology, China [2006BAI01A11, 2011BAI08B01, 2011BAI08B02, 2012ZX09303-005-001, 2013BAI09B03]
第一作者机构:[1]Hebei Med Univ, Hosp 2, Dept Neurol, Shijiazhuang, Hebei Province, Peoples R China;
通讯作者:
通讯机构:[1]Hebei Med Univ, Hosp 2, Dept Neurol, Shijiazhuang, Hebei Province, Peoples R China;[2]Capital Med Univ, Beijing Tiantan Hosp, Dept Neurol, Beijing, Peoples R China;[4]China Natl Clin Res Ctr Neurol Dis, Beijing, Peoples R China;[5]Beijing Inst Brain Disorders, Ctr Stroke, Beijing, Peoples R China;[6]Beijing Key Lab Translat Med Cerebrovasc Dis, Beijing, Peoples R China
推荐引用方式(GB/T 7714):
Sun Shichao,Pan Yuesong,Zhao Xingquan,et al.Prognostic Value of Admission Blood Glucose in Diabetic and Non-diabetic Patients with Intracerebral Hemorrhage[J].SCIENTIFIC REPORTS.2016,6:-.doi:10.1038/srep32342.
APA:
Sun, Shichao,Pan, Yuesong,Zhao, Xingquan,Liu, Liping,Li, Hao...&Guo, Li.(2016).Prognostic Value of Admission Blood Glucose in Diabetic and Non-diabetic Patients with Intracerebral Hemorrhage.SCIENTIFIC REPORTS,6,
MLA:
Sun, Shichao,et al."Prognostic Value of Admission Blood Glucose in Diabetic and Non-diabetic Patients with Intracerebral Hemorrhage".SCIENTIFIC REPORTS 6.(2016):-