Diabetes tied to increased death risk among first stroke survivors: Study

Written By : Medha Baranwal |Medically Reviewed By : Dr. Kamal Kant Kohli Published On 2021-09-11T09:45:45+05:30 | Updated On 11 Sept 2021 9:45 AM IST

Israel: A recent study has pointed out that diabetes in patients with first ischemic stroke is associated with higher mortality risk in the first year and long-term compared to those without diabetes. According to the study, published in the Journal of Diabetes and its Complications, the risk increased with time and was higher in younger patients.

Previous studies have shown diabetes to be a major risk factor for ischemic stroke and may affect post-stroke survival. Large-scale studies of long-term post-stroke survival are limited and most of them excluded older patients from the study population. Efrat Zamir, Sackler Faculty of Medicine, Tel Aviv University, Israel, and colleagues, therefore, aimed to compare the sociodemographic characteristics and risk factors between first ischemic stroke cases with and without diabetes and to assess the mortality risk associated with diabetes.

For this purpose, the researchers followed, all patients hospitalized for a first event of ischemic stroke between the years 2014-2018 for all-cause mortality using the population-based National Stroke Registry in Israel.

Based on the study, the researchers found the following:

Among 41,639 patients with a first event of ischemic stroke, 44.5% were previously diagnosed with diabetes.
Diabetic patients were more likely to be males, members of the Arab ethnic group, with lower socioeconomic status and a higher prevalence of cardiovascular comorbidities, anemia, leukocytosis and abnormal kidney function.
Diabetes was associated with a higher mortality risk in the first year and long term, but not in the first month following stroke.
Diabetes-associated mortality risk interacted with time and age, was higher in younger age and increased with time.

The researchers concluded, " our findings suggest that diabetes is associated with a higher prevalence of comorbidities among patients with first ischemic stroke and with a higher risk for mortality in the mid and long term, which is more profound in younger age."

Reference:

The study titled, "Diabetes associated risk for mortality increases with time among first stroke survivors - Findings from the Israeli National Stroke Registry," is published in the Journal of Diabetes and its Complications.

DOI: https://www.sciencedirect.com/science/article/abs/pii/S1056872721001999

Source : Journal of Diabetes and its Complications

Medha Baranwal

MSc. Biotechnology

Medha Baranwal joined Medical Dialogues as an Editor in 2018 for Speciality Medical Dialogues. She covers several medical specialties including Cardiac Sciences, Dentistry, Diabetes and Endo, Diagnostics, ENT, Gastroenterology, Neurosciences, and Radiology. She has completed her Bachelors in Biomedical Sciences from DU and then pursued Masters in Biotechnology from Amity University. She has a working experience of 5 years in the field of medical research writing, scientific writing, content writing, and content management. She can be contacted at editorial@medicaldialogues.in. Contact no. 011-43720751

Dr. Kamal Kant Kohli

Dr Kamal Kant Kohli-MBBS, DTCD- a chest specialist with more than 30 years of practice and a flair for writing clinical articles, Dr Kamal Kant Kohli joined Medical Dialogues as a Chief Editor of Medical News. Besides writing articles, as an editor, he proofreads and verifies all the medical content published on Medical Dialogues including those coming from journals, studies,medical conferences,guidelines etc. Email: drkohli@medicaldialogues.in. Contact no. 011-43720751