Characteristics and outcomes of patients with or without a bleeding event: results from the triple antiplatelets for reducing dependency in ischaemic stroke (TARDIS) trial

Background: Several studies showed that hyperglycaemia is associated with poorer prognosis in intracerebral haemorrhage. We explored the characteristics and outcomes of patients with hyperglycaemia in the Tranexamic acid in IntraCerebral Haemorrhage-2 (TICH-2) trial. Methods: Of the 2325 patients r...

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Main Authors: Woodhouse, Lisa J., Flaherty, Katie, Appleton, Jason P., Sprigg, Nikola, Bath, Philip M.W.
Format: Conference or Workshop Item
Published: 2018
Online Access:https://eprints.nottingham.ac.uk/50770/
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author Woodhouse, Lisa J.
Flaherty, Katie
Appleton, Jason P.
Sprigg, Nikola
Bath, Philip M.W.
author_facet Woodhouse, Lisa J.
Flaherty, Katie
Appleton, Jason P.
Sprigg, Nikola
Bath, Philip M.W.
author_sort Woodhouse, Lisa J.
building Nottingham Research Data Repository
collection Online Access
description Background: Several studies showed that hyperglycaemia is associated with poorer prognosis in intracerebral haemorrhage. We explored the characteristics and outcomes of patients with hyperglycaemia in the Tranexamic acid in IntraCerebral Haemorrhage-2 (TICH-2) trial. Methods: Of the 2325 patients recruited, 2028 with available baseline glucose levels were included for analysis. Baseline characteristics, radiological and clinical outcomes were compared between patients with admission glucose levels of <7.8 and ≥7.8 mmol/L (hyperglycaemia). Results: 545 (26.9%) patients had hyperglycaemia and did not differ from normoglycaemic patients in age (69.3 years vs 68.7 years) and sex (female: 246, 45.1% vs 641, 43.2%). Hyperglycaemic patients were more likely to be diabetic (187, 34.3% vs 94, 6.3%), have worse NIHSS (13.8 ± 7.7 vs 12.1 ± 7.1), larger baseline haematoma (30.2 ± 31.5 mL vs 21.2 ± 24.3 mL) and perihaematomal oedema volumes (15.8 ± 18.1 mL vs 11.7 ± 14.1 mL). There were no significant differences in haematoma expansion and increase in oedema volume between the two groups (table). Hyperglycaemia did not increase the risk of death or worse modified Rankin Scale at day 90 after adjusting for covariates including baseline haematoma volume. Discussion: Hyperglycaemia was associated with larger haematomas and more severe stroke on admission but did not result in worse outcomes after accounting for baseline haematoma volume.
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spelling nottingham-507702024-08-15T15:28:50Z https://eprints.nottingham.ac.uk/50770/ Characteristics and outcomes of patients with or without a bleeding event: results from the triple antiplatelets for reducing dependency in ischaemic stroke (TARDIS) trial Woodhouse, Lisa J. Flaherty, Katie Appleton, Jason P. Sprigg, Nikola Bath, Philip M.W. Background: Several studies showed that hyperglycaemia is associated with poorer prognosis in intracerebral haemorrhage. We explored the characteristics and outcomes of patients with hyperglycaemia in the Tranexamic acid in IntraCerebral Haemorrhage-2 (TICH-2) trial. Methods: Of the 2325 patients recruited, 2028 with available baseline glucose levels were included for analysis. Baseline characteristics, radiological and clinical outcomes were compared between patients with admission glucose levels of <7.8 and ≥7.8 mmol/L (hyperglycaemia). Results: 545 (26.9%) patients had hyperglycaemia and did not differ from normoglycaemic patients in age (69.3 years vs 68.7 years) and sex (female: 246, 45.1% vs 641, 43.2%). Hyperglycaemic patients were more likely to be diabetic (187, 34.3% vs 94, 6.3%), have worse NIHSS (13.8 ± 7.7 vs 12.1 ± 7.1), larger baseline haematoma (30.2 ± 31.5 mL vs 21.2 ± 24.3 mL) and perihaematomal oedema volumes (15.8 ± 18.1 mL vs 11.7 ± 14.1 mL). There were no significant differences in haematoma expansion and increase in oedema volume between the two groups (table). Hyperglycaemia did not increase the risk of death or worse modified Rankin Scale at day 90 after adjusting for covariates including baseline haematoma volume. Discussion: Hyperglycaemia was associated with larger haematomas and more severe stroke on admission but did not result in worse outcomes after accounting for baseline haematoma volume. 2018-05-16 Conference or Workshop Item PeerReviewed Woodhouse, Lisa J., Flaherty, Katie, Appleton, Jason P., Sprigg, Nikola and Bath, Philip M.W. (2018) Characteristics and outcomes of patients with or without a bleeding event: results from the triple antiplatelets for reducing dependency in ischaemic stroke (TARDIS) trial. In: 4th European Stroke Organisation Conference ​(ESOC 2018), 16-18 May 2018, Gothenburg, Sweden.
spellingShingle Woodhouse, Lisa J.
Flaherty, Katie
Appleton, Jason P.
Sprigg, Nikola
Bath, Philip M.W.
Characteristics and outcomes of patients with or without a bleeding event: results from the triple antiplatelets for reducing dependency in ischaemic stroke (TARDIS) trial
title Characteristics and outcomes of patients with or without a bleeding event: results from the triple antiplatelets for reducing dependency in ischaemic stroke (TARDIS) trial
title_full Characteristics and outcomes of patients with or without a bleeding event: results from the triple antiplatelets for reducing dependency in ischaemic stroke (TARDIS) trial
title_fullStr Characteristics and outcomes of patients with or without a bleeding event: results from the triple antiplatelets for reducing dependency in ischaemic stroke (TARDIS) trial
title_full_unstemmed Characteristics and outcomes of patients with or without a bleeding event: results from the triple antiplatelets for reducing dependency in ischaemic stroke (TARDIS) trial
title_short Characteristics and outcomes of patients with or without a bleeding event: results from the triple antiplatelets for reducing dependency in ischaemic stroke (TARDIS) trial
title_sort characteristics and outcomes of patients with or without a bleeding event: results from the triple antiplatelets for reducing dependency in ischaemic stroke (tardis) trial
url https://eprints.nottingham.ac.uk/50770/