Admission blood glucose and short term survival in primary intracerebral haemorrhage: a population based study

摘要: Background: The role of admission blood glucose level on the prognosis patients with intracerebral haemorrhage has not been elucidated. Objective: To examine this association basis an epidemiologically representative patient material. Methods: 249 500 people living in catchment area Central Hospital Finland. diagnosis ICH was established if verified by cranial computed tomography (CT) or autopsy. Results: Of 416 who fulfilled diagnostic criteria, 30 died before and 386 were admitted to Hospital. All 329 (290 nondiabetics 39 diabetics) both CT data included study. mean 10.6 mmol/l for day onset, 8.6 those dying during days 1 28, 6.8 28 survivors. corresponding figures diabetics 13.9 mmol/l, 12.5 9.3 mmol/l. In diabetics, had significantly higher than survivors (p<0.0001 versus p = 0.029). However, surviving as high that deceased (9.3 9.1 mmol/l). nondiabetics, associated parameters signifying severe stroke; disturbed consciousness, large haematoma volume shift cerebral midline structures, arterial pressure. logistic regression analysis, a significant predictor death first onset (odds ratio 1.22, 95% CI 1.07 1.40). Conclusions: High predicts increased case fatality rate nondiabetic diabetic ICH. Because markers stroke, we are inclined support stress theory; is result serious