Evolución de pacientes internados con diabetes y accidente cerebrovascular isquémico: estudio de cohorte retrospectiva.
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| Title: | Evolución de pacientes internados con diabetes y accidente cerebrovascular isquémico: estudio de cohorte retrospectiva. |
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| Alternate Title: | Evolution of inpatients with diabetes and ischemic strokes: retrospective cohort study. |
| Authors: | Soutelo, Jimena1 (AUTHOR) mjimenasoutelo@gmail.com, Fritz, María Clara1 (AUTHOR), Borghi Torzillo, M Florencia1 (AUTHOR), Basualdo, Jimena1 (AUTHOR), Gallucci, Antonella1 (AUTHOR), Butler, Laura1 (AUTHOR), Di Fonzo, Guido2 (AUTHOR), Faraj, Gabriel1 (AUTHOR) |
| Source: | Medicina (Buenos Aires). ene/feb2025, Vol. 85 Issue 1, p78-85. 8p. |
| Subjects: | DISEASE risk factors, MORTALITY risk factors, TYPE 2 diabetes, ISCHEMIC stroke, HYPERTENSION |
| Abstract (English): | Introduction: Type 2 diabetes (T2DM) together (along) with age and the presence of atrial fibrillation, high blood pressure, smoking, dyslipidemia (DLP), carotid stenosis, and an unhealthy lifestyle are risk factors (RF) to develop an ischemic stroke. The objective of this work was to analyze and compare risk factors and evolution of inpatients with ischemic stroke with and without T2DM. Materials and methods: This study was a retrospective and observational analysis. Data on habits, comorbidities, medication and laboratory parameters were collected patients' medical records hospitalized for stroke between January 1, 2022 and December 31, 2022. The sample was divided into patients with and without T2DM. Results: One hundred and ninety three patients experienced stroke. The average age 73.6 ±11.8 years. Among them, 100 patients had T2DM, displaying a higher prevalence of obesity (p= 0.000), DLP (p=0.000), and chronic kidney disease (p= 0.045). Elevated levels of glycemia (p=0.001), HbA1C (p=0.001), triglycerides (TG) (p=<0.001) and TG/HDL index (p= <0.001) as well as and lower HDL (p=<0.001) were also observed. Patients with T2DM showed lower survival (p= 0.012). Discussion: Patients hospitalized for stroke with T2DM had more risk factors and higher mortality than the population without T2DM. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | Introducción: La diabetes tipo 2 (DM2) junto con la edad y la presencia de fibrilación auricular, hiperten sión arterial, tabaquismo, dislipidemia (DLP), estenosis carotídea, y un estilo de vida no saludable, son facto res de riesgo (FR) para el desarrollo de un accidente cerebrovascular isquémico (ACVi). El objetivo de este trabajo fue analizar y comparar factores de riesgo y evolución de pacientes internados con ACV isquémico con y sin DM2. Materiales y métodos: Estudio retrospectivo y longi tudinal. Se recolectaron datos (hábitos, comorbilidades, medicación y laboratorio) de las historias clínicas de pacientes internados por ACVi desde el 1 de enero de 2022 al 31 de diciembre de 2022. Se dividió la muestra en pacientes con y sin DM2. Resultados: Ciento noventa y tres pacientes pre sentaron ACVi. La edad promedio 73.6 ±11.8 años; 100 pacientes tenían DM2, quienes presentaron mayor obe sidad (p=<0.001, DLP (p=<0.001), enfermedad renal cró nica (p=0.045). También se observó mayores niveles de glucemia (p=0.001), HbA1C (p=0.001), triglicéridos (TG) (p=<0.001) e índice TG/HDL (p=<0.001) y HDL más bajo (p=<0.001). Los pacientes con DM2 presentaron menor supervivencia (p=0.012). Discusión: Los enfermos hospitalizados por acci dente cerebrovascular con DM2 tuvieron más factores de riesgo y mayor mortalidad que la población sin DM2. [ABSTRACT FROM AUTHOR] |
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| Abstract: | Introduction: Type 2 diabetes (T2DM) together (along) with age and the presence of atrial fibrillation, high blood pressure, smoking, dyslipidemia (DLP), carotid stenosis, and an unhealthy lifestyle are risk factors (RF) to develop an ischemic stroke. The objective of this work was to analyze and compare risk factors and evolution of inpatients with ischemic stroke with and without T2DM. Materials and methods: This study was a retrospective and observational analysis. Data on habits, comorbidities, medication and laboratory parameters were collected patients' medical records hospitalized for stroke between January 1, 2022 and December 31, 2022. The sample was divided into patients with and without T2DM. Results: One hundred and ninety three patients experienced stroke. The average age 73.6 ±11.8 years. Among them, 100 patients had T2DM, displaying a higher prevalence of obesity (p= 0.000), DLP (p=0.000), and chronic kidney disease (p= 0.045). Elevated levels of glycemia (p=0.001), HbA1C (p=0.001), triglycerides (TG) (p=<0.001) and TG/HDL index (p= <0.001) as well as and lower HDL (p=<0.001) were also observed. Patients with T2DM showed lower survival (p= 0.012). Discussion: Patients hospitalized for stroke with T2DM had more risk factors and higher mortality than the population without T2DM. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 00257680 |
