Frequency of Undiagnosed Diabetes Mellitus among Patients with Stroke

سال انتشار: 1398
نوع سند: مقاله ژورنالی
زبان: انگلیسی
مشاهده: 505

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شناسه ملی سند علمی:

JR_CJNS-5-2_005

تاریخ نمایه سازی: 3 اسفند 1398

چکیده مقاله:

Background: Stroke is one of the common causes of disability and death in the world. Furthermore, diabetes mellitus is among the main risk factors for cerebrovascular events. However, a high percentage of individuals with diabetes mellitus are unaware of their disease. Objectives: To determine the frequency of Undiagnosed Diabetes mellitus (UD) in patients with stroke. Materials & Methods: In a descriptive cross-sectional study, all patients with stroke hospitalized in neurology ward of an academic hospital in the north of Iran were included in the study in 2016. A questionnaire was used to collect data including all demographic, laboratory and clinical factors such as high blood pressure, hypercholesterolemia and stroke type. Finally, the data were analyzed using Chi square, Fisher’s exact test and multinomial binary logistic regression in SPSS V. 21. Results: Most samples were male (53.8%) with a mean age of 69.2±10.1 years. The percentage of the UD was 21.7% based on level of HbA1c. The highest percentage of UD was observed in Subarachnoid Hemorrhage(SAH) (66.7%). The frequency of UD in patients with family history of diabetes mellitus (16.7%) was lower than that in patients without that history (27.7%). There was a significant relationship between UD and cholesterol and triglyceride levels and, in general, dyslipidemia (P<0.05).Conclusion: In this study, a large percentage of patients with stroke suffered UD. Therefore, it is recommended that extensive screening be conducted for diabetes mellitus in the community inorder to prevent stroke.

نویسندگان

Yaser Moaddabi

Department of Neurology, Poursina Hospital, Guilan University of Medical Sciences, Rasht, Iran

Alia Saberi

Neuroscience Research Center, Department of Neurology, Poursina Hospital, Guilan University of Medical Sciences, Rasht, Iran

Hamidreza Hatamian

Department of Neurology, Poursina Hospital, Guilan University of Medical Sciences, Rasht, Iran

Babak Bakhshayesh

Department of Neurology, Poursina Hospital, Guilan University of Medical Sciences, Rasht, Iran

Samaneh Kazemi

Deputy of Research and Technology, Guilan University of Medical Sciences, Rasht, Iran

Zahra Rezaei

Department of Neurology, Poursina Hospital, Guilan University of Medical Sciences, Rasht, Iran