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REVIEW ARTICLE
Year : 2018  |  Volume : 23  |  Issue : 1  |  Page : 10

Influence of blood glucose level on the prognosis of patients with diabetes mellitus complicated with ischemic stroke


1 Department of Neurology, Tangshan People's Hospital, Tangshan 063000, P.R. China
2 Department of Emergency, Tangshan People's Hospital, Tangshan 063000, P.R. China
3 Department of Respiratory, The Affiliated Hospital of North China University of Science and Technology, Tangshan 063000, P.R. China
4 Department of Anesthesiology, The Affiliated Hospital of North China University of Science and Technology, Tangshan 063000, P.R. China

Correspondence Address:
Dr. Xiao-Liu Dong
Department of Neurology, Tangshan People's Hospital, No. 65, Shengli Road, Lunan Area, Tangshan 063000
P.R. China
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1735-1995.223951

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We carried out this meta-analysis for the aim of exploring the influence of diabetes mellitus (DM) on the prognosis of patients with ischemic stroke. Relevant studies were identified using computerized databases supplemented with manual search strategies. The included studies were strictly followed the inclusion and exclusion criteria. Case-control studies which related to the influence of DM on the prognosis of patients with ischemic stroke were selected. Statistical analyses were implemented with the STATA version 12.0 statistical software. Our current meta-analysis initially retrieved 253 studies (227 in Chinese and 26 in English), 13 studies (6 in English and 7 in Chinese) were eventually incorporated in this meta-analysis. These 13 case-control studies included 8463 patients altogether (3249 patients with DM complicated with ischemic stroke and 5214 patients with ischemic stroke). The results of this meta-analysis manifested that there was a significant difference of the blood glucose level at 48 h after stroke between patients with DM complicated with ischemic stroke and patients with ischemic stroke (standard mean difference [SMD] =1.27, 95% confidence interval [CI] =0.02–2.51, P = 0.047); however, the effectiveness, fatality, and the National Institutes of Health Stroke Scale (NIHSS) score in patients with DM complicated with ischemic stroke, and patients with ischemic stroke had no significant difference (effectiveness: risk ratio [RR] = 0.88, 95% CI = 0.75–1.03, P = 0.121; fatality: RR = 1.29, 95% CI = 0.97–1.71, P = 0.081; NIHSS score: SMD = −0.14, 95% CI = −1.56-1.28, P = 0.849). The current evidence suggests that there is statistical difference of the blood glucose level at 48 h after stroke between patients with DM complicated with ischemic stroke and patients with ischemic stroke, but there is no statistical difference of prognostic indicators between patients in two groups. Thus, our study provides certain clinical value.


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