Índice leucoglucémico como predictor de complicaciones intrahospitalarias agudas en adultos con enfermedad vasculocerebral isquémica en el Hospital Salvador Bienvenido Gautier de República Dominicana
Date
Subject
Glycemic index
complications
stroke
hospital
Dominican Republic
Índice glucémico
complicaciones
accidente cerebrovascular isquémico
hospital
República Dominicana
complications
stroke
hospital
Dominican Republic
Índice glucémico
complicaciones
accidente cerebrovascular isquémico
hospital
República Dominicana
Language:
Journal Title
Journal ISSN
Volume Title
Publisher
Intituto Tecnológico de Santo Domingo (INTEC)
Antecedentes:
La enfermedad vasculocerebral isquémica es una causa importante de morbimortalidad y discapacidad en todo el mundo. La hiperglucemia y la leucocitosis se consideran marcadores de mal pronóstico, el índice resultante de su combinación podría representar una herramienta valiosa en el pronóstico.
Objetivo:
determinar el índice leucoglucémico (ILG) como predictor de complicaciones en ictus isquémico en pacientes mayores de 18 años en un hospital de la República Dominicana.
Métodos:
La recolección de datos se obtuvo a través de un formulario digital de 12 preguntas implementado en el software KoboToolbox. La muestra estuvo constituida por 161 pacientes seleccionados por muestreo no probabilístico por conveniencia. A través de la curva Operativa Característica del Receptor (ROC) y un índice de Youden de 0.35, se obtuvo un punto de corte ILG de 1,566.
Resultados:
De los casos, 97 evolucionaron sin complicaciones, y 64 presentaron complicaciones, destacando la neumonía por aspiración. Los complicados presentaron un ILG elevado con una media aritmética de 2,328.39. El grupo de edad predominante fue 66 a 75 años y el sexo fue masculino. Adicionalmente, hubo una mayor presentación del consumo de tabaco, café y tisanas. Además, se destacó la hipertensión arterial sistémica como comorbilidad. La mayoría presentó una leve alteración del nivel de conciencia basado en la primera evaluación neurológica según la Escala de Coma de Glasgow. Predominaron las lesiones isquémicas multifocales. La mayoría fueron dados de alta vivos.
Conclusión:
El ILG se establece como un valioso predictor, ya que pronostica las complicaciones en individuos con ictus isquémico.
Background: Ischemic stroke is an important cause of morbidity, mortality, and disability worldwide. Hyperglycemia and leukocytosis are considered markers of poor prognosis, the index resulting from the combination of these variables could represent a valuable tool in the prognosis. Objective: To determine the leuko-glycemic index (LGI) as a predictor of complications in ischemic stroke for over 18-year-old patients in a hospital in the Dominican Republic. Methods: Data were collected through a digital form of 12 questions implemented in the KoboToolbox software. The sample consisted of 161 patients selected by non-probability sampling for convenience. Through the Receiver Operating Characteristic (ROC) curve and a Youden index of 0.35, an LGI cut-off point of 1,566 was obtained. Results: Among the cases, 97 evolved without complications, and 64 presented complications, highlighting aspiration pneumonia. The complicated cases presented a high LGI with an arithmetic mean of 2,328.39. The predominant age group was 66 to 75 years and the sex was male. Additionally, there was a high prevalence of smoking, coffee, and herbal tea consumption among the study population. Furthermore, systemic arterial hypertension stood out as a comorbidity. Most presented a mild alteration of the level of consciousness based on the first neurological evaluation made using the Glasgow Coma Scale (GCS). Multifocal ischemic lesions preponderated. The majority were discharged alive. Conclusion: The LGI stands as a valuable predictor, forecasting complications in individuals with ischemic stroke.
Background: Ischemic stroke is an important cause of morbidity, mortality, and disability worldwide. Hyperglycemia and leukocytosis are considered markers of poor prognosis, the index resulting from the combination of these variables could represent a valuable tool in the prognosis. Objective: To determine the leuko-glycemic index (LGI) as a predictor of complications in ischemic stroke for over 18-year-old patients in a hospital in the Dominican Republic. Methods: Data were collected through a digital form of 12 questions implemented in the KoboToolbox software. The sample consisted of 161 patients selected by non-probability sampling for convenience. Through the Receiver Operating Characteristic (ROC) curve and a Youden index of 0.35, an LGI cut-off point of 1,566 was obtained. Results: Among the cases, 97 evolved without complications, and 64 presented complications, highlighting aspiration pneumonia. The complicated cases presented a high LGI with an arithmetic mean of 2,328.39. The predominant age group was 66 to 75 years and the sex was male. Additionally, there was a high prevalence of smoking, coffee, and herbal tea consumption among the study population. Furthermore, systemic arterial hypertension stood out as a comorbidity. Most presented a mild alteration of the level of consciousness based on the first neurological evaluation made using the Glasgow Coma Scale (GCS). Multifocal ischemic lesions preponderated. The majority were discharged alive. Conclusion: The LGI stands as a valuable predictor, forecasting complications in individuals with ischemic stroke.
Description
Type
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
info:eu-repo/semantics/publishedVersion
Source
Science and Health; Vol. 9 No. 1 (2025): Science and Health, january-march; 19-29
Ciencia y Salud; Vol. 9 Núm. 1 (2025): Ciencia y Salud, enero-marzo; 19-29
2613-8824
2613-8816
10.22206/cisa.2025.v9i1
Ciencia y Salud; Vol. 9 Núm. 1 (2025): Ciencia y Salud, enero-marzo; 19-29
2613-8824
2613-8816
10.22206/cisa.2025.v9i1