Acute Ischemic Stroke and Hyperglycemia

被引:24
作者
Clark, Margaret E. [1 ]
Payton, Jessica E. [2 ]
Pittiglio, Laura I. [3 ]
机构
[1] Oakland Univ, Troy, MI USA
[2] Oakland Univ, White Lake, MI USA
[3] Oakland Univ, Rochester, MI 48063 USA
关键词
acute ischemic stroke; hyperglycemia; intravenous insulin; nursing implications; outcomes;
D O I
10.1097/CNQ.0000000000000015
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
To increase the comprehension about the profound effects of hyperglycemia within the first 48 hours poststroke on the outcomes of acute ischemic stroke, the authors reviewed multiple studies and literature reviews. Research supports the detrimental effects of hyperglycemia on the morbidity and mortality of patients diagnosed with acute ischemic stroke. The studies that were examined revealed that although further research is necessary, controlling hyperglycemia is overall beneficial to support superior clinical outcomes. The purpose of this article was to discuss the importance of not only glucose control but also the vital role of nurses in controlling glucose levels efficiently and immediately during the first 48 hours poststroke.
引用
收藏
页码:182 / 187
页数:6
相关论文
共 18 条
[1]   Guidelines for the early management of adults with ischemic stroke - A guideline from the American Heart Association/American Stroke Association Stroke Council, Clinical Cardiology Council, Cardiovascular Radiology and Intervention Council, and the atherosclerotic peripheral vascular disease and quality of care outcomes in research interdisciplinary working groups [J].
Adams, Harold P., Jr. ;
del Zoppo, Gregory ;
Alberts, Mark J. ;
Bhatt, Deepak L. ;
Brass, Lawrence ;
Furlan, Anthony ;
Grubb, Robert L. ;
Higashida, Randall T. ;
Jauch, Edward C. ;
Kidwell, Chelsea ;
Lyden, Patrick D. ;
Morgenstern, Lewis B. ;
Qureshi, Adnan I. ;
Rosenwasser, Robert H. ;
Scott, Phillip A. ;
Wijdicks, Eelco F. M. .
STROKE, 2007, 38 (05) :1655-1711
[2]   Treatment of hyperglycemia in ischemic stroke (THIS) a randomized pilot trial [J].
Bruno, Askiel ;
Kent, Thomas A. ;
Coull, Bruce M. ;
Shankar, Ravi R. ;
Saha, Chandan ;
Becker, Kyra J. ;
Kissela, Brett M. ;
Williams, Linda S. .
STROKE, 2008, 39 (02) :384-389
[3]   Diabetes Mellitus, Acute Hyperglycemia, and Ischemic Stroke [J].
Bruno, Askiel ;
Liebeskind, David ;
Hao, Qing ;
Raychev, Radoslav .
CURRENT TREATMENT OPTIONS IN NEUROLOGY, 2010, 12 (06) :492-503
[4]  
Bruno Askiel, 2009, Curr Cardiol Rep, V11, P36
[5]   Stress hyperglycemia and prognosis of stroke in nondiabetic and diabetic patients - A systematic overview [J].
Capes, SE ;
Hunt, D ;
Malmberg, K ;
Pathak, P ;
Gerstein, HC .
STROKE, 2001, 32 (10) :2426-2432
[6]  
Centers for Disease Control and Prevention, STROK FACTS
[7]   The Prognostic Value of Capillary Glucose Levels in Acute Stroke The GLycemia in Acute Stroke (GLIAS) Study [J].
Fuentes, Blanca ;
Castillo, Jose ;
Jose, Belen San ;
Leira, Rogelio ;
Serena, Joaquin ;
Vivancos, Jose ;
Davalos, Antonio ;
Nunez, Antonio Gil ;
Egido, Jose ;
Diez-Tejedor, Exuperio .
STROKE, 2009, 40 (02) :562-568
[8]   Glucose-potassium-insulin infusions in the management of post-stroke hyperglycaemia: the UK Glucose Insulin in Stroke Trial (GIST-UK) [J].
Gray, Christopher S. ;
Hildreth, Anthony J. ;
Sandercock, Peter A. ;
O'Connell, Janice E. ;
Johnston, Donna E. ;
Cartlidge, Niall E. F. ;
Bamford, John M. ;
James, Oliver F. ;
Alberti, K. George M. M. .
LANCET NEUROLOGY, 2007, 6 (05) :397-406
[9]   Glucose Regulation in Acute Stroke Patients (GRASP) Trial A Randomized Pilot Trial [J].
Johnston, Karen C. ;
Hall, Christiana E. ;
Kissela, Brett M. ;
Bleck, Thomas P. ;
Conaway, Mark R. .
STROKE, 2009, 40 (12) :3804-3809
[10]   The role of hyperglycemia in acute stroke [J].
Kagansky, N ;
Levy, S ;
Knobler, H .
ARCHIVES OF NEUROLOGY, 2001, 58 (08) :1209-1212