Hyperglycemia in acute cerebral infarction.
OBJECTIVE
Report the results of hyperglycemia in the patients with acute cerebral infarction.


METHODS
A retrospective review of 231 patients who presented with the syndrome of acute cerebral infarction at Ratchaburi Hospital from January 1, 2000 to December 31, 2004. Patients data, diagnosis, blood glucose, and underlying disease were collected from medical records (n = 231).


RESULTS
Hyperglycemia is defined as the blood glucose level of more than 140 mg/dl. Odd ratio for 1 year mortality was calculated using multivariable Cox regression models. Admission hyperglycemia was present in 43.7 % of patients with acute cerebral infarction. 61% of these patients received oral hypoglycemic drugs during their hospital admission. Hyperglycemic patients had a longer hospital stay than normoglycemics (6.91 vs 4.60, p < 0.001) and increased risk for death at 1 year (odd ratio = 1.004, p < 0.01).


CONCLUSIONS
Hyperglycemia can predict mortality of acute cerebral infarction.
Paiboonpol
S
S
Division of Neurology, Department of Medicine, Ratchaburi Hospital, Thailand.
D000208:Acute Disease; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002544:Cerebral Infarction / Q000150:complications* / Q000401:mortality; D005260:Female; D006801:Humans; D006943:Hyperglycemia / Q000150:complications* / Q000401:mortality; D008297:Male; D008875:Middle Aged; D016017:Odds Ratio; D016016:Proportional Hazards Models; D012189:Retrospective Studies; D012307:Risk Factors; D016019:Survival Analysis; D013785:Thailand; D013997:Time Factors