COMPARISON OF CLINICAL PRESENTATION AND RISK FACTORS OF STROKE IN DIABETIC VERSUS NON-DIABETIC POPULATION- RESULTS OF A SINGLE CENTRE STUDY
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 41
Abstract
BACKGROUND Objective- To compare clinical presentation and risk factors for the development of stroke in diabetics and non-diabetics population. MATERIALS AND METHODS In this comparative, descriptive study, adult diabetic patients (< 18 years of age) with acute stroke were enrolled. Non-diabetic stroke patients acted as controls. Patients were followed up for > 3 months at regular intervals. RESULTS Eighty patients [diabetic n= 40 (mean age 55 yrs.) and non-diabetic n= 40 (mean age 58.92 yrs)] were included. History of motor weakness was the most common presenting complaint in both groups. Among diabetics 87.5% were known diabetics; 67% diabetics had history of hypertension compared to 27% non-diabetics (p < 0.05). Mean Blood Pressure (BP) on admission was higher in diabetics (systolic BP 155.47 vs 137.61 mmHg; p < 0.05; diastolic BP 92.02 vs 85.60; p < 0.05). Random Blood Sugar (RBS) and triglyceride level was significantly more in diabetics, whereas HDL level was significantly more in non-diabetics. Rates of infarction were higher in diabetics [25 (65%) vs 13 (33%); p < 0.05], whereas haemorrhagic stroke was common in non-diabetics [27 (67%) vs 14 (35%); p < 0.005]. A total of 26 (65%) patients had fair recovery in diabetic group, whereas 10 (25%) had poor recovery. Mortality rate was 10% in both the groups. Overall outcome was better in the non-diabetic stroke patients. Mean RBS of people who died due to diabetes was significantly higher compared to those in the non-diabetics. CONCLUSION Stroke type, prevalence of risk factors and outcome of stroke in diabetes differs from that in non-diabetics.
Authors and Affiliations
Ashwinikumar Suresh Patil, Nishad U Tikait, Nitin Narayan Dange, Swati Chougule, Suresh A. Patil
Keywords
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- EP ID EP214017
- DOI 10.14260/Jemds/2017/707
- Views 68
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