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Stroke

Prevalence
Clinical features
Investigations
Therapy
Prevention
Prognosis
Investigations

Why?

An elevated glucose on admission increases the risk of recurrent ischaemic stroke and death

Patient Prognostic Factor Outcome CER RR
(95% CI)
NNF+
(95% CI)
ischaemic stroke a 5.5 mmol/l increase in admission glucose
independent
recurrent stroke
at 5 years
22% 1.40
(1.10 to 1.70)
11
(6 to 45)
  admission glucose > 7.7 mmol/l
independent
death
at 5 years
44% 1.70
(1.40 to 2.80)
4
(2 to 7)

Expiry date: October 2003
Levels of Evidence used in grading these guides

Author   CM   Ball
Reviewer   G  Donnan
CAT Writers   CJ   Wotton , N   Shenker , CM   Ball