Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/19524
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dc.contributor.authorLew, Jeremy F-
dc.contributor.authorThijs, Vincent N-
dc.contributor.authorChurilov, Leonid-
dc.contributor.authorDonnan, Geoffrey-
dc.contributor.authorPark, Warwick-
dc.contributor.authorRobbins, Raymond J-
dc.contributor.authorHart, Graeme K-
dc.contributor.authorBladin, Christopher-
dc.contributor.authorKhoo, Kaylyn-
dc.contributor.authorLau, Lik-Hui-
dc.contributor.authorTan, Alanna-
dc.contributor.authorLam, Que T-
dc.contributor.authorJohnson, Douglas F-
dc.contributor.authorZajac, Jeffrey D-
dc.contributor.authorEkinci, Elif I-
dc.date2018-
dc.date.accessioned2018-09-25T23:00:22Z-
dc.date.available2018-09-25T23:00:22Z-
dc.date.issued2018-08-18-
dc.identifier.citationJournal of Diabetes and Its Complications 2018; online first: 18 Augusten_US
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/19524-
dc.description.abstractDiabetes 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.isoeng-
dc.subjectDiabetes mellitusen_US
dc.subjectElectronic Health Recordsen_US
dc.subjectHemoglobin A glycosylateden_US
dc.subjectPrevalenceen_US
dc.subjectStrokeen_US
dc.titleUsing routine HbA1c measurements in stroke and the associations of dysglycaemia with stroke outcomes.en_US
dc.typeJournal Articleen_US
dc.identifier.journaltitleJournal of Diabetes and Its Complicationsen_US
dc.identifier.affiliationStroke Division, The Florey Institute of Neuroscience and Mental Health, Melbourne, Victoria, Australiaen_US
dc.identifier.affiliationNeurologyen_US
dc.identifier.affiliationDepartment of Administrative Informatics, Austin Health, Heidelberg, Victoria, Australiaen_US
dc.identifier.affiliationIntensive Careen_US
dc.identifier.affiliationHealth and Biomedical Informatics Centre, University of Melbourne, Australiaen_US
dc.identifier.affiliationDepartment of Neurosciences, Eastern Health, Box Hill Hospital, Box Hill, Victoria, Australiaen_US
dc.identifier.affiliationEndocrinologyen_US
dc.identifier.affiliationPathologyen_US
dc.identifier.affiliationMedicine (University of Melbourne)en_US
dc.identifier.affiliationGeneral Medicineen_US
dc.identifier.doi10.1016/j.jdiacomp.2018.08.013en_US
dc.type.contentTexten_US
dc.identifier.orcid0000-0003-2372-395Xen_US
dc.identifier.orcid0000-0002-6614-8417en_US
dc.identifier.orcid0000-0001-6324-3403en_US
dc.identifier.orcid0000-0002-9807-6606en_US
dc.identifier.pubmedid30172697-
dc.type.austinJournal Article-
local.name.researcherChurilov, Leonid
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.cerifentitytypePublications-
item.fulltextNo Fulltext-
item.grantfulltextnone-
item.languageiso639-1en-
item.openairetypeJournal Article-
crisitem.author.deptMedicine (University of Melbourne)-
crisitem.author.deptNeurology-
crisitem.author.deptThe Florey Institute of Neuroscience and Mental Health-
crisitem.author.deptMedicine (University of Melbourne)-
crisitem.author.deptThe Florey Institute of Neuroscience and Mental Health-
crisitem.author.deptNeurology-
crisitem.author.deptClinical Analytics and Reporting-
crisitem.author.deptIntensive Care-
crisitem.author.deptEndocrinology-
crisitem.author.deptPathology-
crisitem.author.deptEndocrinology-
crisitem.author.deptMedicine (University of Melbourne)-
crisitem.author.deptEndocrinology-
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