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https://ahro.austin.org.au/austinjspui/handle/1/19524
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DC Field | Value | Language |
---|---|---|
dc.contributor.author | Lew, Jeremy F | - |
dc.contributor.author | Thijs, Vincent N | - |
dc.contributor.author | Churilov, Leonid | - |
dc.contributor.author | Donnan, Geoffrey | - |
dc.contributor.author | Park, Warwick | - |
dc.contributor.author | Robbins, Raymond J | - |
dc.contributor.author | Hart, Graeme K | - |
dc.contributor.author | Bladin, Christopher | - |
dc.contributor.author | Khoo, Kaylyn | - |
dc.contributor.author | Lau, Lik-Hui | - |
dc.contributor.author | Tan, Alanna | - |
dc.contributor.author | Lam, Que T | - |
dc.contributor.author | Johnson, Douglas F | - |
dc.contributor.author | Zajac, Jeffrey D | - |
dc.contributor.author | Ekinci, Elif I | - |
dc.date | 2018 | - |
dc.date.accessioned | 2018-09-25T23:00:22Z | - |
dc.date.available | 2018-09-25T23:00:22Z | - |
dc.date.issued | 2018-08-18 | - |
dc.identifier.citation | Journal of Diabetes and Its Complications 2018; online first: 18 August | en_US |
dc.identifier.uri | https://ahro.austin.org.au/austinjspui/handle/1/19524 | - |
dc.description.abstract | Diabetes is a major risk factor for stroke. We aimed to investigate the prevalence of diabetes and pre-diabetes within a stroke cohort and examine the association of glycaemia status with mortality and morbidity. Inpatients aged ≥54 who presented with a diagnosis of stroke had a routine HbA1c measurement as part of the Austin Health Diabetes Discovery Initiative. Additional data were attained from hospital databases and Australian Stroke Clinical Registry. Outcomes included diabetes and pre-diabetes prevalence, length of stay, 6-month and in-hospital mortality, 28-day readmission rates, and 3-month modified Rankin scale score. Between July 2013 and December 2015, 610 patients were studied. Of these, 31% had diabetes while 40% had pre-diabetes. Using multivariable regression analyses, the presence of diabetes was associated with higher odds of 6-month mortality (OR = 1.90, p = 0.022) and higher expected length of stay (IRR = 1.29, p = 0.004). Similarly, a higher HbA1c was associated with higher odds of 6-month mortality (OR = 1.27, p = 0.005) and higher expected length of stay (IRR = 1.08, p = 0.010). 71% of this cohort had diabetes or pre-diabetes. Presence of diabetes and higher HbA1c were associated with higher 6-month mortality and length of stay. Further research is necessary to determine if improved glycaemic control may improve stroke outcomes. | en_US |
dc.language.iso | eng | - |
dc.subject | Diabetes mellitus | en_US |
dc.subject | Electronic Health Records | en_US |
dc.subject | Hemoglobin A glycosylated | en_US |
dc.subject | Prevalence | en_US |
dc.subject | Stroke | en_US |
dc.title | Using routine HbA1c measurements in stroke and the associations of dysglycaemia with stroke outcomes. | en_US |
dc.type | Journal Article | en_US |
dc.identifier.journaltitle | Journal of Diabetes and Its Complications | en_US |
dc.identifier.affiliation | Stroke Division, The Florey Institute of Neuroscience and Mental Health, Melbourne, Victoria, Australia | en_US |
dc.identifier.affiliation | Neurology | en_US |
dc.identifier.affiliation | Department of Administrative Informatics, Austin Health, Heidelberg, Victoria, Australia | en_US |
dc.identifier.affiliation | Intensive Care | en_US |
dc.identifier.affiliation | Health and Biomedical Informatics Centre, University of Melbourne, Australia | en_US |
dc.identifier.affiliation | Department of Neurosciences, Eastern Health, Box Hill Hospital, Box Hill, Victoria, Australia | en_US |
dc.identifier.affiliation | Endocrinology | en_US |
dc.identifier.affiliation | Pathology | en_US |
dc.identifier.affiliation | Medicine (University of Melbourne) | en_US |
dc.identifier.affiliation | General Medicine | en_US |
dc.identifier.doi | 10.1016/j.jdiacomp.2018.08.013 | en_US |
dc.type.content | Text | en_US |
dc.identifier.orcid | 0000-0003-2372-395X | en_US |
dc.identifier.orcid | 0000-0002-6614-8417 | en_US |
dc.identifier.orcid | 0000-0001-6324-3403 | en_US |
dc.identifier.orcid | 0000-0002-9807-6606 | en_US |
dc.identifier.pubmedid | 30172697 | - |
dc.type.austin | Journal Article | - |
local.name.researcher | Churilov, Leonid | |
item.fulltext | No Fulltext | - |
item.grantfulltext | none | - |
item.languageiso639-1 | en | - |
item.openairecristype | http://purl.org/coar/resource_type/c_18cf | - |
item.cerifentitytype | Publications | - |
item.openairetype | Journal Article | - |
crisitem.author.dept | Medicine (University of Melbourne) | - |
crisitem.author.dept | Neurology | - |
crisitem.author.dept | The Florey Institute of Neuroscience and Mental Health | - |
crisitem.author.dept | Medicine (University of Melbourne) | - |
crisitem.author.dept | The Florey Institute of Neuroscience and Mental Health | - |
crisitem.author.dept | Neurology | - |
crisitem.author.dept | Clinical Analytics and Reporting | - |
crisitem.author.dept | Intensive Care | - |
crisitem.author.dept | Endocrinology | - |
crisitem.author.dept | Pathology | - |
crisitem.author.dept | Endocrinology | - |
crisitem.author.dept | Medicine (University of Melbourne) | - |
crisitem.author.dept | Endocrinology | - |
Appears in Collections: | Journal articles |
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