ECE2017 Eposter Presentations: Diabetes, Obesity and Metabolism Diabetes (to include epidemiology, pathophysiology) (95 abstracts)
Response to stroke in diabetic versus non-diabetic patients. Should Diabetes education systematically include advise on stroke symptoms and the correct response to them?
Paloma González-Lázaro 1 , Julia Silva-Fernández 1 , Rafael García-Ruiz 2 , Rosa García-Ruiz 3 , Francisco Javier Gómez-Alfonso 1 , Florentino Del Val-Zaballos 1 , Belvis Torres-Arroyo 1 & Carolina González-Pereira 4
1Endocrinology Service. Mancha Centro Hospital, Alcázar de San Juan, Spain; 2Neurology Service. Manca Centro Hospital, Alcázar de San Juan, Spain; 3Internal Medicine, Marina Salud Hospital, Denia, Spain; 4Unit Care Department, Hospital Universitario central de Asturias, Asturias, Spain.
Introduction: Stroke is the second cause of death in the world and the first cause of disability. It is also the second cause of Diabetes-related death. The success of reperfusion therapies is time-dependent, with most delays being patient-related. We investigated the response to stroke in diabetic patients (DM), as their risk of stroke is increased by 1,8-6 times.
Material and Methods: Consecutive patients with acute stroke or transient ischemic attack were prospectively included. Sociodemographic and clinical data, time from stroke onset to decision to seek medical attention (Decision delay (DD)) and to hospital arrival (Prehospital Delay (PD)) and first medical contact (FMC) were obtained. Decision to call the 112 Emergency Services (112-ES) within the first 15 min was considered the correct decision.
Results: 382 patients were included. 138 (36,1%) were diabetic. DD was < 15 min in 41 (29,7%) DM vs 57 (23,4%) non-diabetic patients (non-DM) (P=0,17). FMC was 112-ES in 20 (14,5%) DM vs 50 (20,5%) non-DM (P=0,14), and a correct decision was made in 13 (9,4%) DM vs 32 (13,1%) non-DM (P=0,28). PD was <60 min in 14 DM vs 29 non-DM. No significant differences were found after adjustment for potential confounders.
Conclusions: Response to stroke symptoms in DM was not different to non-DM, while carrying a greater load of vascular risk factors and a higher risk of stroke. Even more, although not significant, the use of the 112-ES was quite lower in DM. We propose to systematically incorporate information on stroke risk, symptoms, consequences and how to respond to stroke into DM education.
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Endocrine Abstracts
ISSN 1470-3947 (print) | ISSN 1479-6848 (online)
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