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Prevalence of diabetes and its effects on stroke outcomes: A meta‐analysis and literature review

Journal of diabetes investigation, 2019-05, Vol.10 (3), p.780-792 [Peer Reviewed Journal]

2018 The Authors. Journal of Diabetes Investigation published by Asian Association for the Study of Diabetes (AASD) and John Wiley & Sons Australia, Ltd ;2018 The Authors. Journal of Diabetes Investigation published by Asian Association for the Study of Diabetes (AASD) and John Wiley & Sons Australia, Ltd. ;2019. This work is published under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;ISSN: 2040-1116 ;EISSN: 2040-1124 ;DOI: 10.1111/jdi.12932 ;PMID: 30220102

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  • Title:
    Prevalence of diabetes and its effects on stroke outcomes: A meta‐analysis and literature review
  • Author: Lau, Lik‐Hui ; Lew, Jeremy ; Borschmann, Karen ; Thijs, Vincent ; Ekinci, Elif I
  • Subjects: Australia - epidemiology ; Comorbidity ; Diabetes ; Diabetes mellitus ; Diabetes Mellitus - epidemiology ; Diabetes Mellitus - physiopathology ; Family medical history ; Hemoglobin ; Hemorrhage ; Humans ; Hyperglycemia ; Hypoglycemia ; Ischemia ; Literature reviews ; Medical Subject Headings-MeSH ; Morbidity ; Mortality ; Original ; Outcomes ; Patients ; Prevalence ; Prognosis ; Rehabilitation ; Risk Factors ; Stroke ; Stroke - epidemiology ; Stroke - etiology ; Studies
  • Is Part Of: Journal of diabetes investigation, 2019-05, Vol.10 (3), p.780-792
  • Description: Aims/Introduction Diabetes mellitus is an established risk factor for stroke and maybe associated with poorer outcomes after stroke. The aims of the present literature review were to determine: (i) the prevalence of diabetes in acute stroke patients through a meta‐analysis; (ii) the association between diabetes and outcomes after ischemic and hemorrhagic stroke; and (iii) to review the value of glycated hemoglobin and admission glucose‐based tests in predicting stroke outcomes. Materials and Methods Ovid MEDLINE and EMBASE searches were carried out to find studies relating to diabetes and inpatient stroke populations published between January 2004 and April 2017. A meta‐analysis of the prevalence of diabetes from included studies was undertaken. A narrative review on the associations of diabetes and different diagnostic methods on stroke outcomes was carried out. Results A total of 66 eligible articles met inclusion criteria. A meta‐analysis of 39 studies (n = 359,783) estimated the prevalence of diabetes to be 28% (95% confidence interval 26–31). The rate was higher in ischemic (33%, 95% confidence interval 28–38) compared with hemorrhagic stroke (26%, 95% confidence interval 19–33) inpatients. Most, but not all, studies found that acute hyperglycemia and diabetes were associated with poorer outcomes after ischemic or hemorrhagic strokes: including higher mortality, poorer neurological and functional outcomes, longer hospital stay, higher readmission rates, and stroke recurrence. Diagnostic methods for establishing diagnosis were heterogeneous between the reviewed studies. Conclusions Approximately one‐third of all stroke patients have diabetes. Uniform methods to screen for diabetes after stroke are required to identify individuals with diabetes to design interventions aimed at reducing poor outcomes in this high‐risk population. Diabetes affects up to one‐third of stroke inpatients and has been found to be associated with poorer outcomes after stroke. There is heterogeneity in the diagnostic methods of diabetes between current studies examining the effects of diabetes on stroke outcomes.
  • Publisher: Japan: John Wiley & Sons, Inc
  • Language: English
  • Identifier: ISSN: 2040-1116
    EISSN: 2040-1124
    DOI: 10.1111/jdi.12932
    PMID: 30220102
  • Source: Open Access: Wiley Blackwell Open Access Journals
    Geneva Foundation Free Medical Journals at publisher websites
    MEDLINE
    PubMed Central
    ProQuest Central
    DOAJ Directory of Open Access Journals
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