Hyperglycemia in Acute Cerebral Infarction
Supachai Paiboonpol MD*
Affiliation : * Division of Neurology, Department of Medicine, Ratchaburi Hospital, Ratchaburi
Objective : Report the results of hyperglycemia in the patients with acute cerebral infarction.
Materials and Methods : A retrospective review of 231 patients who presented with the syndrome of acute
cerebral infarction at Ratchaburi Hospital from January 1,2000 to December 31,2004. Patients data, diagno-
sis, blood glucose, and underlying disease were collected from medical records (n = 231).
Results : Hyperglycemia is defined as the blood glucose level of more than 140 mg/dl. Odd ratio for 1 year
mortality was calculated using multivariable Cox regression models. Admission hyperglycemia was present
in 43.7 % of patients with acute cerebral infarction. 61 % of these patients received oral hypoglycemic drugs
during their hospital admission. Hyperglycemic patients had a longer hospital stay than normoglycemics
(6.91 vs 4.60, p < 0.001) and increased risk for death at 1 year (odd ratio = 1.004, p < 0.01).
Conclusion : Hyperglycemia can predict mortality of acute cerebral infarction.
Keywords : Hyperglycemia, Predict, Acute cerebral infarction
