Détails Publication
Stress hyperglycaemia in the acute phase of haemorrhagic stroke in Burkina Faso: prevalence and impact on mortality,
Discipline: Médecine clinique
Auteur(s): Julie Marie Adeline Wendlamita Kyelem, Alfred Anselme Dabilgou, Djingri Labodi Lompo, Wilfred Michel Sylga, Christian Napon, Athanase Millogo,
Auteur(s) tagués: LOMPO Y. Dimitri
Renseignée par : KYELEM Julie Marie Adeline Wendlamita
Résumé

in intracerebral haemorrhage (ICH). Our study aimed to assess the prevalence of stress hyperglycaemia in the acute phase of ICH and its impact on in-hospital mortality.
Methods: This was a retrospective descriptive study with analytical and descriptive purposes in the medical emergency and neurology departments of the Yalgado Ouedraogo University Hospital over 2 years from 1st January 2021 to 31st December 2022. Non-diabetic patients with ICH and fasting hyperglycaemia ≥ 7mmo/l on admission and glycated haemoglobin < 6.5% were included. Bivariate and multivariate analyses were used to assess the impact of stress hyperglycaemia on mortality.
Results: We included 199 patients. The mean age of the patients was 55.72±13.3y and the male: female ratio was 1.58. Arterial hypertension was the main aetiology of ICH in 86.9% (n=173) of cases. The mortality rate was 23.1% (n=46). The prevalence of stress hyperglycaemia in the acute phase of stroke was 52.3% (n=104). Factors associated with higher hospital mortality were admission hyperglycaemia ≥ 7mmo/l (p= 0.0017) and National Institutes of Health Stroke Scale ≥ 17 (p= 0.0136).
Conclusion: Mortality in ICH remains high. Stress hyperglycaemia has a high prevalence and is a poor prognostic factor in ICH.

Mots-clés

Intracerebral haemorrhage, stress hyperglycaemia, mortality

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