Braun KF, Otter W, Sandor SM, Standl E, Schnell O. All-cause in-hospital mortality and comorbidity in diabetic and non-diabetic patients with stroke.
Diabetes Res Clin Pract 2012;
98:164-8. [PMID:
22591708 DOI:
10.1016/j.diabres.2012.04.016]
[Citation(s) in RCA: 17] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/11/2012] [Revised: 03/31/2012] [Accepted: 04/23/2012] [Indexed: 11/18/2022]
Abstract
INTRODUCTION
The aim of this study was to compare diabetic and non-diabetic patients with stroke with regard to their all-cause in-hospital mortality and possible differences regarding their comorbidities.
METHODS
All patients of the Munich Stroke Registry (2003-2004, n=537) were assessed. Hospital mortality in diabetic (n=160, 29.8%) and non-diabetic (n=377, 70.2%) patients was compared. Pre-existing comorbidities such as hypertension, coronary artery disease (CAD), peripheral arterial disease (PAD), albuminuria and impaired renal function (IRF) were noted.
RESULTS
Regarding all-cause in-hospital mortality, no significant differences were found between diabetic and non-diabetic patients. Overall 71 patients (13.2%) died of whom 27 (16.9%) where diabetic and 44 (11.7%) non-diabetic patients (n.s.). Hypertension, CAD, PAD, albuminuria and IRF were more frequent in diabetic patients (p<0.05).
CONCLUSION
Despite multiple comorbidities and risk factors no significant difference in all-cause in-hospital mortality was seen in diabetic patients as compared to non-diabetic patients. Improved treatment strategies and early intervention may compensate for their poorer prognosis.
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