J Korean Acad Rehabil Med Search


Journal of the Korean Academy of Rehabilitation Medicine 2007;31(6):642-648.
The Effect of Hyperglycemia at Admission on Clinical Outcomes after Acute Stroke.
Oh, Sang Hyang , Hyun, Hwa Jin , Lee, Young Jin , Nam, Seung Ho , Yoon, Jong Myung , Bok, Soo Kyung
Department of Rehabilitation Medicine and Myung-Gok Medical Science Institute, College of Medicine, Konyang University, Korea. chicchock@hanmail.net
급성기 뇌졸중 환자의 입원 시 고혈당증이 임상적 결과에 미치는 영향
오상향, 현화진, 이영진, 남승호, 윤종명, 복수경
건양대학교 의과대학 재활의학교실 및 명곡의과학연구소
To clarify the issues about the importance of hyperglycemia in the acute stage of stroke as a poor predictor of clinical outcome, we analyzed the relationship between the glucose level in admission and clinical outcome in the acute stroke patients.
Twenty-five patients with sudden onset of acute stroke with focal neurological deficit were included in this study. Clinical assessments consisted of the National Institutes of Health Stroke Scale (NIHSS) for neurological impairment and the Korean modified Bathel index (KMBI) for functional status. NIHSS and K-MBI were assessed at admission and at discharge. Plasma glucose level was measured at admission in all patients. Acute hyperglycemia at admission was defined as fasting plasma glucose level more than 140 mg/dl. Statistical analysis were used to compare variables and clinical outcome scores between the normoglycemic and hyperglycemic groups.
For the patient with hyperglycemia at admission, the odds ratio for neurological improvement decreased (Ղ=-0.604) and the odds ratio for functional improvement decreased (Ղ=-0.553). However, control of the glucose level during the acute stroke was not significantly related to neurological and functional recovery (p>0.05).
In patients with acute stroke, hyperglycemia at admission was associated with neurological and functional impairments. Therefore, we expect that strict control of hyperglycemia during the acute stroke would improve clinical outcomes. (J Korean Acad Rehab Med 2007; 31: 642-648)
Key Words: Acute stroke, Hyperglycemia, Clinical outcomes


Browse all articles >

Terms of Use   |   Privacy Polity
Editorial Office
Department of Rehabilitation Medicine, Seoul National University Hospital
101 Daehak-ro, Jongno-gu, Seoul, Korea
Tel: +82-10-8678-2671    Fax: +82-2-6072-5244    E-mail: edit@e-arm.org; edit.karm@gmail.com
Business Registration: 110-82-07460                

Copyright © 2024 by Korean Academy of Rehabilitation Medicine.

Developed in M2PI

Close layer