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This is a multicenter observational clinical study in patients with acute ischemic stroke. The main objective is to evaluate the impact of glycemic variability (GV) on stroke outcome (mortality, functional recovery) of patients with acute ischemic stroke. Glycemic variability will be assessed using a subcutaneous device for continuous glycaemia motorization during 96 hours; also capillar glycaemia will be measured every 6 hours.
10 different hospitals in Spain will participate in this study, recruiting a total of 340 patients. Once the informed consent form is signed, the subcutaneous device for continuous glycaemia motorization will be implanted and demographic, comorbidities and treatments of every patient will be registered. During the first 96 hours, capillar glycaemia, NIHSS scale, HbA1C levels, cerebral recanalization treatment and glycaemia correcting treatments will also be reported. In the following days (7, 30 and 90 days after stroke) modified Rankin Scale, NIHSS scale and stroke secondary prevention treatments will be evaluated. At day 90, a new measure of HbA1C will be done.
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| Measure | Description | Time Frame |
|---|---|---|
| Glycemic variation impact in mortality of patients with acute ischemic stroke | Intrahospital mortality | 3 months from stroke |
| Glycemic variation impact in functional status of patients with acute ischemic stroke | Modified Rankin Scale. This scale measures degree of disability/dependence after a stroke. 0- No symptoms
| 3 months from stroke |
| Measure | Description | Time Frame |
|---|---|---|
| Impact of glycemic variation in mortality in diabetic patients with acute ischemic stroke. | Intrahospital mortality | 3 months from stroke |
| Impact of glycemic variation in functional status in diabetic patients with acute ischemic stroke. |
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Inclusion Criteria:
Exclusion Criteria:
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Patients > 18 years old presenting with acute ischemic stroke of less than 24 hours of evolution
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| Name | Affiliation | Role |
|---|---|---|
| Blanca Fuentes Gimeno | Hospital Universitario La Paz | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hospital Universitario La Paz | Madrid | 28046 | Spain |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33148277 | Derived | Fuentes B, Pastor-Yborra S, Gutierrez-Zuniga R, Gonzalez-Perez de Villar N, de Celis E, Rodriguez-Pardo J, Gomez-de Frutos MC, Laso-Garcia F, Gutierrez-Fernandez M, Ortega-Casarrubios M, Soto A, Lopez-Fernandez M, Santamaria M, Diez-Gonzalez N, Freijo MM, Zandio B, Delgado-Mederos R, Calleja A, Portilla-Cuenca JC, Lisbona A, Otero-Ortega L, Diez-Tejedor E. Glycemic variability: prognostic impact on acute ischemic stroke and the impact of corrective treatment for hyperglycemia. The GLIAS-III translational study. J Transl Med. 2020 Nov 4;18(1):414. doi: 10.1186/s12967-020-02586-4. |
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| ID | Term |
|---|---|
| D002545 | Brain Ischemia |
| D006943 | Hyperglycemia |
| ID | Term |
|---|---|
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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Blood samples
Modified Rankin Scale. This scale measures degree of disability/dependence after a stroke.
0- No symptoms
| 3 months from stroke |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |