DOI: 10.36347/sajb.2022.v10i06.004

Pages: 131-137

Introduction: Stroke is a leading cause of morbidity, death, and a significant socioeconomic burden. This is especially true in poor nations like Bangladesh, where the health-care system, including rehabilitation, is out of reach for the average citizen. This life-threatening ailment impacts not only the patients but also their families. The goal of this hospital-based study was to determine stroke-related in-hospital mortality. For various reasons, the findings of our study are important to stroke care in our setting. Attention to modifiable variables that have a negative influence on stroke outcome (e.g. hyperglycemia and comorbidities) may help to reduce stroke mortality, which is particularly high in poor countries. The aim of the study was to evaluate the frequency of stress hyperglycemia in acute ischemic stroke cases, and observe the difference in mortality and morbidity among patients with hyperglycemia and normoglycemia. Methods: This observational cross-sectional study was conducted at the Department of Medicine, Sir Salimullah Medical College & Mitford Hospital, Dhaka, Bangladesh. The study duration was 6 months, from April 2017 to October 2017. The purposive sampling technique was used to select a total of 100 consecutively attending first-ever acute ischemic stroke patients attending the study hospital within 72 hours of stroke onset. Result: Among the participants, the majority (54%) were between the age range of 41-55 years, with a mean age of 58.37 (±6.23) years. The male: female ratio was 1.7:1. Over half the participants were from urban areas, and 29% were housewives while 25% were businessmen. Unilateral weakness, speech disturbance, and headache were the most common clinical presentations. During admission, the majority were conscious, while 7% were unconscious. Stress hyperglycemia was observed in 29% of the cases. Recovery rates were higher among normoglycemic patients. Conclusion: Present study showed that stress hyperglycemia is .............