Clinical Profile and Severity of Stroke in Diabetic and Non Diabetic Patients

Venkatesh, R (2016) Clinical Profile and Severity of Stroke in Diabetic and Non Diabetic Patients. Masters thesis, Tirunelveli Medical College, Tirunelveli.

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Abstract

INTRODUCTION: Diabetes mellitus is a group of metabolic disorders with vascular complications. Studies has shown that DM increases the incidence of cerebro Vascular accidents and it influences the morbidity and mortality in CVA patient. AIM OF THE STUDY: To assess the clinical profile and severity of stoke in diabetic and non-diabetic patients. MATERIALS AND METHODOLOGY: Study Design: Prospective study Methods of Collection of Data : 1. Sample size : 50 patients. 2. Sampling procedure : patients who fulfilled the inclusion criteria. Inclusion Criteria: All acute stroke patients admitted in medical wards in TVMCH. Exclusion Criteria: 1. Residual stroke patients. 2. Patients with other comorbidities like sepsis, trauma, acute CNS infection, encephalopathy. METHODOLOGY: 1. Stroke patients are examined on the day of admission and Scored according to National Institutes Health Stroke Scale (NIHSS). (0-4:minor stroke), (5-15:moderate stroke), (16-20:moderate to severe), (21-42:severe stroke) . 2. ECG, Random Blood Sugar,Fasting And Postprandial Blood Sugar, Urine Acetone, CBC, RFT, Electrolytes. 3. CT-Brain. RESULTS: In our study, among 50 patients 33 were male, 17 were female patients. Among these 50 patients 15 patients were 51-60 years, 13 patients were 41-50 years, 10 patients were 61-70 years, 6 patients were < 40 years, 4 patients were 71-80 years, 2 were >81 years. Among 25 diabetic stroke patients 18 had moderate severity, 4 had severe stroke symptoms. Among 25 non-diabetic stroke patients minor stroke in 2 patients, 22 had moderate, 1 had severe symptoms. There is statistically significant difference in severity between diabetic and non –diabetic patients (p < 0.038). According to pearson correlation coefficient there is linear relationship between random blood sugar on admission in diabetic patients and their stroke severity (p < 0.002), also there is linear relationship between fasting blood sugar and severity of stroke in diabetic patients (p < 0.03). Incidence of sever stroke was more in diabetic than non-diabetic patients. CONCLUSION: In our study it was found, 1. Males were more commonly affected than females. 2. Age group 51-60 years more commonly affected. 3. Diabetic patients had more severe stroke than non-diabetic patients. 4. Random blood sugar on admission had linear relationship with NIH stroke scale in diabetic patients. 5. Fasting blood sugar also had linear relationship with NIH stroke scale in diabetic patients.

Item Type: Thesis (Masters)
Additional Information: Reg.No.201311368
Uncontrolled Keywords: Stroke ; National Institutes Health Stroke Scale (NIHSS) ; Stroke in diabetic patients ; Diabetes mellitus ; National Institute of Health Stroke Scale.
Subjects: MEDICAL > General Medicine
Depositing User: Subramani R
Date Deposited: 06 Feb 2019 00:42
Last Modified: 06 Feb 2019 00:42
URI: http://repository-tnmgrmu.ac.in/id/eprint/10489

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