Incidence and Factors Associated with Acute Large-artery Atherosclerosis Occlusive Stroke in Diabetes Mellitus Patients with Acute Occlusive Stroke at Chaophraya Yommaraj Hospital
Keywords:
Atherosclerosis, Diabetes Mellitus, Ischemic Stroke, Large Vessels Occlusion, Non-communicable DiseasesAbstract
This retrospective research aimed to explore incidence and factors associated with acute large-artery atherosclerosis occlusive stroke in patients with diabetes mellitus at Chaophraya Yommaraj Hospital. Data were collected three-year medical records from 312 inpatients and outpatients. Two groups of causal factors were uncontrollable factors including gender and age and controllable factors including chronic non-communicable diseases, hyperlipidemia, BMI, and smoking.
The results revealed that 92 patients were diagnosed with large vessel occlusions; 84 patients had signs and symptoms of partial anterior infarcts. Age was found to be the only one uncontrollable factor significantly associated with acute large-artery atherosclerosis occlusive stroke (p value = 0.017). The research also found an association between symptoms classified by OCSP and TOAST classification with a statistical significance of 0.002 and < 0.001.
Therefore, further evaluation of serum glucose in newly diagnosed stroke patients and annual screening for diabetes mellitus in the NCD patients could decrease risk of vascular dementia and more disabilities.
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สมศักดิ์ เทียมเก่า. สถานการณ์โรคหลอดเลือดสมอง. วารสารประสาทวิทยา 2021;37(4):54-60.
Jose M, Ramos-Lima M, Brasileiro IC, Lima TL, Braga-NetoI P. Quality of life after stroke: impact of clinical and sociodemographic factors. Clinics 2018;73:e418:1-7.
Rangel ESS, Belasco AGS, Diccini S. Quality of life of patients with stroke rehabilitation. Acta Paul Enferm 2013;26(2):205-12.
สุชาฎา วรินทร์เวช. สถานการณ์โรคไม่ติดต่อเรื้อรัง. ใน: สุชาฎา วรินทร์เวช. โครงการอบรมเชิงปฏิบัติการข้าราชการครองตน ครองคน ครองงานสุขภาพดีวิถีใหม่ วิถีธรรม วิถีไทย วิถีเศรษฐกิจพอเพียง. กรุงเทพฯ: ศูนย์ปฏิบัติการต่อต้านการทุจริต (ศปท.) กระทรวงสาธารณสุข; 2564.
ปฏิณัฐ บูรณะทรัพย์ขจร. เบาหวาน. ใน: ชุษณา สวนกระต่าย, บรรณาธิการ. ตำราอายุศาสตร์ 2. กรุงเทพฯ: ภาควิชาอายุรศาสตร์ คณะแพทยศาสตร์ จุฬาลงกรณ์มหาวิทยาลัย; 2558.
Spratt N, Wang Y, Levi C, Ng K, Evans M, Fisher J. A prospective study of predictors of prolonged hospital stay and disability after stroke. J Clin Neurosci 2003;10(6):665-9.
Chang JY, Kim WJ, Kwon JH, Kim BJ, Kim JT, Lee J, et al. Prestroke glucose control and functional outcome in patients with acute large vessel occlusive stroke and diabetes after thrombectomy. Diabetes Care 2021;44(9):2140–8.
Talari K, Goyal M. Retrospective studies – utility and caveats. J R Coll Physicians Edinb 2020;50:398–402.
Anne M, Euser AM, Zoccali C, Jager KJ, Dekker FD. Cohort Studies: Prospective versus Retrospective. Nephron Clinical Practice 2009;113(3):c214–7.
Vokonas PS, Kannel WB. Diabetes mellitus and coronary heart disease (CHD) are heavily entwined clinical conditions, particularly in the elderly. Clinics in Geriatric Medicine 1996;12(1):69-78.
Zhu S, McClure LA, Lau H, Romero JR, White CL, Babikian V, Nguyen T, Benavente OR, Kase CS, Pikula A. Recurrent vascular events in lacunar stroke patients with metabolic syndrome and/or diabetes. Neurology 2015;85(11):935-41.
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