الفهرس 
Stress HyperglycemiaOnly 14 pages are availabe for public view
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Abstract
Hyperglycemia is encountered in 20% to 40% of acute stroke patients, with or without a pre-morbid diagnosis of diabetes mellitus. Hyperglycemia is a risk factor for infarct expansion and poor outcome through the first 72 hours of hospitalization in both diabetics and non-diabetics.
Major and minor studies of stroke patients suggested that ‘Stress Hyperglycemia’ was associated with a poorer outcome.
This study is a retrospective study conducted in Elzaiton and Ain Shams intensive care and intermediate care departments during the period from June 2016 to June 2017.
The aim of this work is to study the glycemic status after acute stroke and to assess the role of glycemic status in influencing the stroke outcome.
The study included a total of 80patients presented with acute cerebrovascular ischemic stroke within 24 hours from onset of symptoms.
Patients was divided into 2 groups
(A) Patients with accepted random blood sugar at admission and controlled blood sugar during hospital stay (<150mg\dl)
(B) Patients with increased random blood sugar at admission and poor blood sugar control during hospital stay (>150mg\dl)
Our study revealed that:
Hyperglycemia at ICU admission and during hospital stay was associated with high mortality and longer hospital stay than controlled group and uncontrolled hyperglycemia was associated with less motor power improvement compared with controlled group and Glascow Coma scale was significantly decreased in uncontrolled group than in controlled group at ICU admission and discharge.