Correlation of plasma blood glucose levels at hospitality with clinical severity of Ischemic stroke patients at neurology department RSUD Dr. Soetomo surabaya during the period of January 2019 – December 2020
1 Medical Program, Faculty of Medicine Universitas Airlangga, Surabaya, Indonesia.
2 Department of Neurology, Faculty of Medicine Universitas Airlangga, Surabaya, Indonesia.
3 Department of Internal Medicine, Faculty of Medicine Universitas Airlangga, Surabaya, Indonesia.
Research Article
World Journal of Advanced Research and Reviews, 2022, 15(02), 069–075
Article DOI: 10.30574/wjarr.2022.15.2.0782
Publication history:
Received on 27 June 2022; revised on 31 July 2022; accepted on 02 August 2022
Abstract:
Stroke is one of the second most significant causes of death and the second highest cause of disability globally, 87% of which are ischemic strokes (IS). Blood glucose levels are known to have a relationship with the clinical outcome of IS patients as measured by the National Institutes of Health Stroke Scale (NIHSS). This study aims to determine the relationship between the patient's plasma blood glucose level upon hospital admission and the IS patient's severity. This research is a cross-sectional analytic study using medical records of IS patients hospitalized at the Neurology Department of RSUD Dr. Soetomo Surabaya between January 2019 and December 2020. Sampling was carried out using a total sampling technique, including patients with the diagnosis of an IS aged ≥18 years old. Patients with a diagnosis of ICH, SAH, TIA, and patients with a history of CHD were excluded from this study. We analyzed medical record data by Chi-Square statistical test on blood glucose and clinical outcomes of patients with NIHSS. In total, 53 out of 89 medical records met the inclusion criteria. Random; fasting; and 2 hours post-prandial blood glucose levels on IS patients in admission to the hospital showed a non-significant relationship with p=0.764; p=0.130; p=0.210 (p>0.05) with a weak correlation value to the clinical severity of patients as measured by NIHSS. Blood glucose levels at hospital admission cannot be the sole predictor in determining the clinical severity of IS patients using the NIHSS. Many other co-factors affect the clinical severity of the patient.
Keywords:
Admission blood glucose; Ischemic stroke; Ischemic stroke outcome; National Institutes of Health Stroke Scale (NIHSS)
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