Stroke pattern and outcome of management in type 2 diabetics in a tertiary hospital in North Western Nigeria

Olatunji, Lawal Kayode; Balarabe, Salisu A.; Adamu, Habibullah; Muhammad, Abdulrahman Bashir; Sabir, Anas Ahmad; Abdulsalam, Latifatu Bolanle

doi:10.4103/1118-8561.176594

Cited by 3 publications

(4 citation statements)

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“…The effect of oestrogen and androgens on cardiovascular function have been suggested as one of the possible explanations for this difference [ 30 ]. The mean age of stroke patients with diabetes was significantly higher than those without diabetes; this is consistent with the findings of other studies [ 24 , 29 , 31 ].…”

Section: Discussionsupporting

confidence: 92%

“…Majority (73.93%) of stroke patients with and without DM had hypertension which is in keeping with results from other studies [ 24 , 29 , 31 ]. Generally, hypertension is more common among patients with DM with its attendant increased risk of cardiovascular complications including stroke [ 32 ].…”

Section: Discussionsupporting

confidence: 91%

“…Generally, hypertension is more common among patients with DM with its attendant increased risk of cardiovascular complications including stroke [ 32 ]. Ischaemic stroke has been reported to be more prevalent among DM patients compared with haemorrhagic stroke and results from our study corroborate this finding [ 7 , 31 , 33 , 34 ]. In our study the odds of having diabetes among patients with ischaemic stroke were more than two times (OR=2.33, 95% CI= 1.41-3.93) that among patients with haemorrhagic stroke.…”

Section: Discussionsupporting

confidence: 90%

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Stroke Outcome and Determinants among Patients with and without Diabetes in a Tertiary Hospital in Ghana

Akpalu

Yawson

Osei-Poku

et al. 2018

Stroke Research and Treatment

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Background Diabetes mellitus, a well-established independent risk factor for stroke, has varied association with stroke outcome from previous studies. This study investigated stroke outcome and determinants among patients with and without diabetes in a tertiary hospital in Ghana. Methods A prospective study conducted among stroke patients with and without diabetes admitted in a Ghanaian tertiary hospital. Baseline clinical and biochemical data were documented. Functional stroke outcome was evaluated at 1, 3, and 6 months after stroke using the modified Rankin Scale. Results Number of participants enrolled were 326 and 105 (32.20%) had diabetes. Higher proportions of diabetes patients had poor functional stroke outcome at 1, 3, and 6 months (79%, 75.23%, 73.33%) compared with those without diabetes (70.13%, 65.16, 61.99) (p>0.05). Stroke patients with diabetes had lower survival compared with those without diabetes (p=0.0745). Mortality at 6 months was more likely among ischaemic stroke patients with diabetes compared with those without diabetes (Odds Ratio 2.037; CI: 1.058-3.923). Determinants of poor functional stroke outcome for diabetes patients were older age (Adjusted Odds Ratio (AOR)-1.07; CI-1.03-1.12), female gender (AOR-3.74; CI-1.26-12.65), and pneumonia (AOR-11.32; CI-1.93-220.05) whereas the determinants for those without diabetes were unemployment (AOR-4.19; CI-1.24-19.50), speech abnormalities (AOR-1.99; CI1.08-3.73), and pneumonia (AOR-4.05; CI-1.83-9.77). High fasting plasma glucose (HR-1.15; CI-1.07-1.23), elevated temperature (HR-1.41; CI-1.11-1.79), and pneumonia (HR-2.25; CI-1.44-3.50) were determinants of low survival among all stroke patients. Conclusion Trends towards poorer functional outcome and reduced survival were found among Ghanaian stroke patients with diabetes compared with those without diabetes. Older age, female gender, pneumonia, elevated temperature, and fasting plasma glucose were determinants of adverse outcome in stroke patients with diabetes.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 90%

See 1 more Smart Citation

Stroke Outcome and Determinants among Patients with and without Diabetes in a Tertiary Hospital in Ghana

Akpalu

Yawson

Osei-Poku

et al. 2018

Stroke Research and Treatment

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“…Stroke affects mainly old age group but studies have shown that stroke prevalence among young is up to 18% which is significant as far as Pakistan is considered because a targe proportion of Pakistani population comprises of young adults [9][10][11]. Ischemic stroke constitute 75% [28] in the diabetes-stroke co-morbid patients and 71.1% in the nondiabetic stroke patients, while hemorrhagic stroke constitute about 25% in the diabetes-stroke co-morbid patient and 28.9% in the nondiabetics stroke patients (P = 0.540) [12] which as compared to my study where acute ischemic stroke in diabetics patients were recorded in 215 (74.65%). Type2 diabetes being the most important modifiable risk factor as it contributes to both the hemorrhagic and ischemic stroke and is a common problem in young population [13][14].…”

Section: Resultsmentioning

confidence: 99%

Frequency of Acute Ischemic Stroke in Patient with Type-II Diabetes Mellitus: Descriptive Cross Sectional Study

Khan

Malik

Khan

et al. 2021

JPRI

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Aim: To evaluate the frequency of acute ischemic stroke in patients with type-II diabetes mellitus. Study Design: Descriptive Cross sectional Study Place & Duration of Study: The study was carried out at Department of Medicine, DHQ Teaching Hospital, Dera Ismail Khan for the period of 06 months from 06 Feb, 2018 to 06 Aug, 2018. Methodology: All patients admitted through OPD presented with type-II diabetes mellitus and having acute ischemic stroke after radiological confirmation using non-contrast enhanced CT scan brain with type-II diabetes (as per operational definitions above) were enrolled in study. Informed written consent was taken by the researcher with detailed history followed by detailed clinical examination and all patients who was give their consent to participate in the study was questioned about their medical history and was examined in detail for their neurological deficits. All the laboratory investigation was done from single hospital laboratory and all the radiological investigations were done from hospital radiology department. Results: As per frequencies and percentages for acute ischemic stroke, 215 (74.65%) patients were found having acute ischemic stroke. Conclusion: In this study, we concluded that there is a significant age difference between the diabetes-stroke co-morbid patient and non-diabetic stroke patient. Therefore, health education on preventive measures for type 2 DM, adequate regulation of blood pressure and blood sugar level through compliance to medical advice and medication, regular clinic attendance and periodic measurement of blood pressure and blood sugar level.

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Diabetes Mellitus as a risk factor for stroke among Nigerians: A systematic review and meta-analysis

Azeez,

Durotoluwa,

Makanjuola

2023

International Journal of Cardiology Cardiovascular Risk and Pre

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Stroke pattern and outcome of management in type 2 diabetics in a tertiary hospital in North Western Nigeria

Cited by 3 publications

References 0 publications

Stroke Outcome and Determinants among Patients with and without Diabetes in a Tertiary Hospital in Ghana

Stroke Outcome and Determinants among Patients with and without Diabetes in a Tertiary Hospital in Ghana

Frequency of Acute Ischemic Stroke in Patient with Type-II Diabetes Mellitus: Descriptive Cross Sectional Study

Diabetes Mellitus as a risk factor for stroke among Nigerians: A systematic review and meta-analysis

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