Abstract
This study documented trends in the prevalence of diabetes among men and women hospitalized for acute stroke and determined the effect of diabetes on short- and long-term survival following stroke. These issues were investigated in the Minnesota Heart Survey, a population-based surveillance system that has monitored trends in stroke morbidity and mortality in the Minneapolis-St Paul metropolitan area since 1970. Clinical data were obtained from the hospital records of 50% samples of residents ages 30 to 74 years who were discharged with a diagnosis of acute stroke in 1970, 1980, and 1985. Between 1970 and 1985, the prevalence of diabetes as listed on the discharge diagnoses among stroke patients increased significantly in men (22.4% vs 10.5%; p = 0.006) and non-significantly in women (24.7% vs 15.9%; p = 0.3). During this time period, both in-hospital and 28-day case fatality rates declined in non-diabetic stroke patients but remained unchanged in stroke patients with diabetes. After controlling for the effects of age, sex, survey year, and level of consciousness, diabetes status had little effect on short-term (28-day) mortality of stroke patients, but the odds of 5-year mortality among those surviving to 1 year was 2.0 (95% CI (1.3, 3.2)) times higher in diabetic compared to nondiabetic individuals. These findings suggest that the prevalence of diabetes has been increasing among stroke patients, and that the diabetic condition is a significant predictor of poorer long-term but not short-term survival following stroke.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 678-684 |
| Number of pages | 7 |
| Journal | Diabetic Medicine |
| Volume | 11 |
| Issue number | 7 |
| State | Published - 1994 |
| Externally published | Yes |
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Keywords
- Diabetes
- Stroke
- Survival
- Trends
ASJC Scopus subject areas
- Endocrinology
- Endocrinology, Diabetes and Metabolism
- Internal Medicine
Cite this
Trends in diabetes prevalence among stroke patients and the effect of diabetes on stroke survival : The Minnesota Heart Survey. / Sprafka, J. M.; Virnig, B. A.; Shahar, Eyal; McGovern, P. G.
In: Diabetic Medicine, Vol. 11, No. 7, 1994, p. 678-684.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Trends in diabetes prevalence among stroke patients and the effect of diabetes on stroke survival
T2 - The Minnesota Heart Survey
AU - Sprafka, J. M.
AU - Virnig, B. A.
AU - Shahar, Eyal
AU - McGovern, P. G.
PY - 1994
Y1 - 1994
N2 - This study documented trends in the prevalence of diabetes among men and women hospitalized for acute stroke and determined the effect of diabetes on short- and long-term survival following stroke. These issues were investigated in the Minnesota Heart Survey, a population-based surveillance system that has monitored trends in stroke morbidity and mortality in the Minneapolis-St Paul metropolitan area since 1970. Clinical data were obtained from the hospital records of 50% samples of residents ages 30 to 74 years who were discharged with a diagnosis of acute stroke in 1970, 1980, and 1985. Between 1970 and 1985, the prevalence of diabetes as listed on the discharge diagnoses among stroke patients increased significantly in men (22.4% vs 10.5%; p = 0.006) and non-significantly in women (24.7% vs 15.9%; p = 0.3). During this time period, both in-hospital and 28-day case fatality rates declined in non-diabetic stroke patients but remained unchanged in stroke patients with diabetes. After controlling for the effects of age, sex, survey year, and level of consciousness, diabetes status had little effect on short-term (28-day) mortality of stroke patients, but the odds of 5-year mortality among those surviving to 1 year was 2.0 (95% CI (1.3, 3.2)) times higher in diabetic compared to nondiabetic individuals. These findings suggest that the prevalence of diabetes has been increasing among stroke patients, and that the diabetic condition is a significant predictor of poorer long-term but not short-term survival following stroke.
AB - This study documented trends in the prevalence of diabetes among men and women hospitalized for acute stroke and determined the effect of diabetes on short- and long-term survival following stroke. These issues were investigated in the Minnesota Heart Survey, a population-based surveillance system that has monitored trends in stroke morbidity and mortality in the Minneapolis-St Paul metropolitan area since 1970. Clinical data were obtained from the hospital records of 50% samples of residents ages 30 to 74 years who were discharged with a diagnosis of acute stroke in 1970, 1980, and 1985. Between 1970 and 1985, the prevalence of diabetes as listed on the discharge diagnoses among stroke patients increased significantly in men (22.4% vs 10.5%; p = 0.006) and non-significantly in women (24.7% vs 15.9%; p = 0.3). During this time period, both in-hospital and 28-day case fatality rates declined in non-diabetic stroke patients but remained unchanged in stroke patients with diabetes. After controlling for the effects of age, sex, survey year, and level of consciousness, diabetes status had little effect on short-term (28-day) mortality of stroke patients, but the odds of 5-year mortality among those surviving to 1 year was 2.0 (95% CI (1.3, 3.2)) times higher in diabetic compared to nondiabetic individuals. These findings suggest that the prevalence of diabetes has been increasing among stroke patients, and that the diabetic condition is a significant predictor of poorer long-term but not short-term survival following stroke.
KW - Diabetes
KW - Stroke
KW - Survival
KW - Trends
UR - http://www.scopus.com/inward/record.url?scp=0028123177&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0028123177&partnerID=8YFLogxK
M3 - Article
C2 - 7955994
AN - SCOPUS:0028123177
VL - 11
SP - 678
EP - 684
JO - Diabetic Medicine
JF - Diabetic Medicine
SN - 0742-3071
IS - 7
ER -