Thailand diabetes registry project: prevalence and risk factors of stroke in thai diabetic patients.
OBJECTIVE
To determine the prevalence of stroke and its risk factors in Thai diabetic patients who attended the diabetes clinics of university and tertiary-care hospitals.


METHODS
A cross-sectional, multi-center hospital-based diabetes registry was carried out at diabetes clinics of 11 university and tertiary-care hospitals. Demographic data, clinical characteristics, common drugs used and laboratory parameters were analyzed for prevalence and risk factors associated with stroke.


RESULTS
The prevalence of stroke in the patients studied was 3.5%. Most of the patients were type 2 diabetes and had ischemic stroke. One of the risk factors associated with stroke was age greater than 60 years, and the risk appeared to be highest if the patients' age was greater than 70 years (adjust OR = 3.29, p = 0.012). Other risk factors included male sex, systolic blood pressure of > or =140 mmHg, use of oral hypoglycemic agents, lipid lowering agents and aspirin. There was no association between stroke and duration of diabetes, occupation, educational level, BMI, smoking, alcohol drinking, diastolic blood pressure, use of antihypertensive drugs or insulin, glycemic control, lipid profiles and kidney function.


CONCLUSIONS
Ischemic stroke was common among Thai patients with diabetes especially in the elderly. The present result emphasizes the relationship between level of systolic blood pressure and the occurrence of stroke. Optimal blood pressure control should be underscored in caring for diabetic patients.
Plengvidhya
Nattachet
N
Department of Medicine, Faculty of Medicine, Siriraj Hospital, Mahidol University, Thailand. sinpv-natpl@excite.com
Leelawatana
Rattana
R
Pratipanawatr
Thongchai
T
Deerochanawong
Chaicharn
C
Krittiyawong
Sirinate
S
Bunnag
Pongamorn
P
Kosachunhanun
Nattapong
N
Suwanwalaikorn
Sompongse
S
Benjasuratwong
Yupin
Y
Chetthakul
Thanya
T
Ngarmukos
Chadpraorn
C
Vannasaeng
Sathit
S
Mongkolsomlit
Sirima
S
Komoltri
Chulaluk
C
Rawdaree
Petch
P
D000328:Adult; D000368:Aged; D001794:Blood Pressure; D002545:Brain Ischemia / Q000453:epidemiology / Q000209:etiology; D003430:Cross-Sectional Studies; D048909:Diabetes Complications; D003924:Diabetes Mellitus, Type 2; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D016730:Program Development; D012042:Registries; D012307:Risk Factors; D020521:Stroke / Q000453:epidemiology* / Q000209:etiology; D013599:Systole; D013785:Thailand / Q000453:epidemiology