•  
  •  
 

Rehabilitation Practice and Science

Translated Title

急診之初始血糖值是梗塞性中風後病人功能之預後因子

Abstract

Although many studies are available in focus on prognostic factors for acute cerebral vascular disease, there are few reports to discuss the impact of the initial glucose level on the functional outcome after stroke. The initial glucose level in the emergency department is more representative of acute glucose response after stroke and is not influenced by the treatment in the emergency department. The aim of our study is to evaluate the prognostic role of the initial glucose level on the functional outcome after stroke.We recruited individuals who sustained first-ever stroke and were admitted to an inpatient stroke rehabilitation program. Patients with previous history of stroke, intra-cerebral hemorrhage, or rehabilitation programs were held due to medical problem were excluded. Hyperglycemia was defined as an initial glucose level≧140 mg/dL in emergency department. The medical record and related information were obtained by chart reviewarticle. The Barthel index and the Modified Rankin Scale were used to assess the outcome 1 month later. Multiple logistic regression analyses were performed to identify factors associated with outcome measurements. A total of 221 eligible patients (113 males and 108 females with a mean age 65.8±12.38 years) were recruited into the study. After adjusting for age and the scores of National Institute of Health Stroke Scale (NIHSS), higher initial glucose levels remained an independent predictor of poor functional outcome (odds ratio, 4.64; 95% confidence interval, 2.355-9.137) and greater degrees of disability (odds ratio, 4.80; 95% confidence interval, 2.437-9.443) The initial blood glucose level in the emergency department is an important and independent factor for poor functional outcome after stroke. We should arrange early and constructive rehabilitation programs to accelerate the functional outcome for patients with an initial glucose level more than 140 mg/dL.

Language

Traditional Chinese

First Page

89

Last Page

95

Download

Share

COinS