Endocrine Abstracts

The aim of the study was to defined the level of rehabilitation after the stroke depending on the type of hyperglycemia.

Materials and methods: The retrospective analysis of 122 (54 female and 68 men) cases of ischemic stroke (IS) has been done. The diagnosis of IS was confirmed by computer tomography. According to the level of hyperglycemia at the debut of IS the patients were divided into three groups. Group 1 (60 patients) – with normoglycemia, group 2 (27 patients) – with stress hyperglycemia and group 3 (35 patients) with chronic hyperglycemia. At the beginning and the end of hospitalization the level of neurological deficit was determined according to NHSS scale. The comparison of averages was carried out using the Kruskal-Wallis test (a posteriori pairwise comparisons were made using the method of Niemen), program R Foundation for Statistical Computing, Vienna, Austria (Version 3.2).

Results: The patients with normoglycemia and stress hyperglycemia have had the same level of rehabilitation (50% (CI: 45–75%) and 50% (CI: 32–73%) respectively). The statistical significant difference has been found between groups 1 and 3. In patients with chronic hyperglycemia the average relative level of rehabilitation was 33% (CI: 22–50%, P=0.023). The level of rehabilitation of patients 60 years old was 57% and between 60–75 years old and older this level was 50%.

Conclusion: The negative influence of chronic hyperglycemia has been revealed. The stress hyperglycemia does not influence on the level of rehabilitation The age exerts on the regress of neurological deficit regardless of the hyperglycemia kinds.