应激性高血糖比值与急性缺血性卒中患者临床预后的相关性研究Correlation between Stress Hyperglycemia Ratio and Clinical Prognosis of Patients with Acute Ischemic Stroke

• Published in: Zhongguo cuzhong zazhi Vol. 17; no. 5; pp. 483 - 490
• Main Author: 张东, 李治璋, 马瑞楠, 岳蕴华
• Format: Journal Article
• Language: Chinese
• Published: Editorial Department of Chinese Journal of Stroke 01.05.2022
• Subjects: acute ischemic stroke; risk factor; stress hyperglycemia ratio; unfavorable prognosis; 不良预后; 危险因素; 应激性高血糖比值; 急性缺血性卒中
• ISSN: 1673-5765
• DOI: 10.3969/j.issn.1673-5765.2022.05.008

Objective To investigate the correlation between stress hyperglycemia ratio (SHR) and 90-day clinical prognosis of patients with acute ischemic stroke (AIS). Methods The data of AIS patients who were admitted in Department of Neurology, Yangpu Hospital, Tongji University from May 2016 to October 2020 were retrospectively analyzed. The outcome was assessed by 90-day mRS and composite vascular events (recurrent stroke, myocardial infarction and vascular death). The favorable prognosis was defined as a mRS score of 0-2, and unfavorable prognosis was defined as a mRS score of 3-6 and composite vascular events within 90 days after stroke. SHR was calculated by fasting blood glucose divided by the estimated average blood glucose. The multivariate logistic regression analysis was used to determine whether SHR was an independent influencing factor of the 90-day prognosis. ROC curve was used to evaluate the effect of SHR to predict 90-day prognosis. Spearman correlation was used to analyze the correlation between SHR