Higher Stress Hyperglycemia Ratio Is Associated With a Higher Risk of Stroke-Associated Pneumonia.
Higher Stress Hyperglycemia Ratio Is Associated With a Higher Risk of Stroke-Associated Pneumonia.
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DOI：
10.3389/fnut.2022.784114
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发表时间：
2022
影响因子：
5
通讯作者：
Ren W
中科院分区：
文献类型：
--
作者：
Tao J;Hu Z;Lou F;Wu J;Wu Z;Yang S;Jiang X;Wang M;Huang Q;Ren W
Stroke-associated pneumonia (SAP) is a frequent complication in stroke patients. This present study aimed to investigate the association between stress hyperglycemia and SAP. Patients were screened between February 2013 and August 2020 from the First Affiliated Hospital of Wenzhou Medical University. We divided the blood glucose of the patients at admission by the glycated hemoglobin to calculate the stress hyperglycemia ratio (SHR). Binary logistic regression analysis was used to identify the association between SAP and SHR, with the confounders being controlled. Further, subgroup analyses were separately performed for stroke patients with and without diabetes. A total of 2,039 patients were finally recruited, of which 533 (26.14%) were diagnosed with SAP. SHR were divided into four quartiles in the logistic regression analysis, the highest SHR quartile (SHR ≥ 1.15) indicated a higher risk of SAP (OR = 1.57; 95% CI = 1.13–2.19, p = 0.01) in total patients. In patients without diabetes, the third quantile (SHR = 0.96–1.14) and the highest quantile (SHR ≥ 1.15) were both related to a higher risk of SAP (both p < 0.05). However, we did not find such an association in diabetic patients. SHR was significantly associated with the risk of SAP in patients without diabetes. Adequate attention should be paid to the patients with high SHR levels at admission, especially those without diabetes.
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影响因子：
105.7
作者：
Lepper, Philipp M.;Ott, Sebastian;Rohde, Gernot
通讯作者：
Rohde, Gernot
应激性高血糖对患有或不患有糖尿病的急性缺血性中风患者的神经功能缺损和死亡率的影响。
影响因子：
3.4
作者：
Li J;Quan K;Wang Y;Zhao X;Li Z;Pan Y;Li H;Liu L;Wang Y
通讯作者：
Wang Y
影响因子：
7.7
作者：
Ceriello, A;delloRusso, P;Cerutti, P
通讯作者：
Cerutti, P
DOI：
10.1186/cc12514
发表时间：
2013-03-06
期刊：
Critical care (London, England)
影响因子：
--
作者：
Marik PE;Bellomo R
通讯作者：
Bellomo R
影响因子：
4.3
作者：
McCowen, KC;Malhotra, A;Bistrian, BR
通讯作者：
Bistrian, BR