The Interconnection of the Type of Hyperglycemia and the Degree of Post Stroke Rehabilitation

Presentation Number: MON 585
Date of Presentation: April 3rd, 2017

Irina Dzherieva*1, Natalya Volkova2, Zoya A Goncharova3, Maria Porksheyan4, Ilya Davidenko5, Maria Komurdzhyants6, Igor Reshetnikov7, Aida Gulmagomedova1, Alexander L Zibarev3, Nikolay Krivorotov3, Natalia Maslova3 and Aleksey Kharlamov3
1Rostov State Medical University, Rostov on Don, Russia, 2The Rostov State Medical University, Rostov-on-Don, Russia, 3Rostov State Medical University, Rostov on Don, Russian Federation, 4Rostov State Medical University, Rostov-on-don, 5Rostov State Medical University, 6Medical center, Rostov on Don, Russia, 7Rostov State Medial University, Rostov on Don, Russia

Abstract

The rehabilitation after the stroke is a long and hard process which depend on many factors including the states occurring at the beginning of the stroke. Hyperglycemia can often appear of the beginning at the stroke. There is a special kind of hyperglycemia called stress hyperglycemia. Stress hyperglycemia is a condition that occurs in the first 24 hours after the stress when the level of fasting glucose is above 6.1mmol/l or 11.1 mmol/l at any time. The condition must disappear after 24 hours . To the contrary the high level of glucose is considered to be diabetes mellitus (chronic hyperglycemia).The aim of the study was defined the degree of rehabilitation after stroke depending on type of hyperglycemia. The date based of 122 patients (54 female, 68 men) after ischemic stroke has been studied and the level of rehabilitation has been determined according to NIHSS (National Institutes of Health Stroke) table. There were three groups: #1(60 patients) with stress –hyperglicemia, #2 (27 patients) with normoglycemia, #3 (35 patients) with diabetes mellitus. The comparison of averages have been carried out using the Kruskal-Wallis test. The average level of rehabilitation skills by NIHSS was equal in groups with stress –hyperglycemia (50% CI: 45-75%) and normoglycemia(50% CI: 32-73%) .The average of rehabilitation patients’ skills after stroke was 33%( CI: 22-50%, p=0.023) in group with diabetes mellitus. The dependence of patients skills rehabilitation after the stroke was identified only for the group with diabetes mellitus. The stress – hyperglycemia does not influence on the degree of patients skills rehabilitation after the stroke.

 

Nothing to Disclose: ID, NV, ZAG, MP, ID, MK, IR, AG, ALZ, NK, NM, AK