Abstract

Objective:To describe the various risk factors and identify the characteristics of ischemic stroke in diabetic patients.Method:A retrospective study carried out at King Fahd Hospital of the University in Al-Khobar, kingdom of Saudi Arabia from February 2010 to December 2015. Statistical analysis was performed by the Statistical Package for the Social Sciences (version 22.0, SPSS Inc, Chicago, IL, USA).Results:One hundred and twenty-seven diabetic patients with ischemic stroke were compared with 127 non-diabetics. Mean age was 61±13.6 (mean±SD) years for diabetics and 60±16.6 years for non-diabetics. There were 68.5% male in the diabetic group and 62.2% in the non-diabetic group. Small vessel occlusion was the most common subtype (41.7%) in diabetics and stroke of undetermined etiology (32%) in non-diabetics. Dyslipidemia was significantly more prevalent in diabetics as compared with non-diabetics.Conclusion:Our study found significant differences in characteristics of ischemic stroke in diabetics compared with non-diabetics with dyslipidemia, microangiopathy, and lacunar infarction being more frequent. Further epidemiological studies are required to understand the characteristics of strokes in diabetics.

Highlights

  • Our study found significant differences in characteristics of ischemic stroke in diabetics compared with non-diabetics with dyslipidemia, microangiopathy, and lacunar infarction being more frequent

  • Further epidemiological studies are required to understand the characteristics of strokes in diabetics

  • We reviewed the medical records of patients admitted with the diagnosis of acute Ischemic strokes (IS) to the Department of Neurology, King Fahd Hospital of the University (KFHU), Alkhobar, Kingdom of Saudi Arabia from February 2010 to December 2015

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Summary

Methods

This was a retrospective, cross-sectional study approved by a local institutional review board. We reviewed the medical records of patients admitted with the diagnosis of acute IS to the Department of Neurology, King Fahd Hospital of the University (KFHU), Alkhobar, Kingdom of Saudi Arabia from February 2010 to December 2015. The study was carried out after getting approval from the institutional review board committee of the university. We retrieved the medical record through the electronic data bank system of the hospital. King Fahd Hospital of the University is a 500 bedded teaching and referral hospital in Alkhobar, Kingdom of Saudi Arabia. Data collection method was the same as mentioned in our previous study on IS.[14]

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