Searchable abstracts of presentations at key conferences in endocrinology
Endocrine Abstracts (2017) 49 EP456 | DOI: 10.1530/endoabs.49.EP456

1Endocrinology Service. Mancha Centro Hospital, Alcázar de San Juan, Spain; 2Neurology Service. Manca Centro Hospital, Alcázar de San Juan, Spain; 3Internal Medicine, Marina Salud Hospital, Denia, Spain; 4Unit Care Department, Hospital Universitario central de Asturias, Asturias, Spain.

Introduction: Stroke is the second cause of death in the world and the first cause of disability. It is also the second cause of Diabetes-related death. The success of reperfusion therapies is time-dependent, with most delays being patient-related. We investigated the response to stroke in diabetic patients (DM), as their risk of stroke is increased by 1,8-6 times.

Material and Methods: Consecutive patients with acute stroke or transient ischemic attack were prospectively included. Sociodemographic and clinical data, time from stroke onset to decision to seek medical attention (Decision delay (DD)) and to hospital arrival (Prehospital Delay (PD)) and first medical contact (FMC) were obtained. Decision to call the 112 Emergency Services (112-ES) within the first 15 min was considered the correct decision.

Results: 382 patients were included. 138 (36,1%) were diabetic. DD was < 15 min in 41 (29,7%) DM vs 57 (23,4%) non-diabetic patients (non-DM) (P=0,17). FMC was 112-ES in 20 (14,5%) DM vs 50 (20,5%) non-DM (P=0,14), and a correct decision was made in 13 (9,4%) DM vs 32 (13,1%) non-DM (P=0,28). PD was <60 min in 14 DM vs 29 non-DM. No significant differences were found after adjustment for potential confounders.

Conclusions: Response to stroke symptoms in DM was not different to non-DM, while carrying a greater load of vascular risk factors and a higher risk of stroke. Even more, although not significant, the use of the 112-ES was quite lower in DM. We propose to systematically incorporate information on stroke risk, symptoms, consequences and how to respond to stroke into DM education.

Volume 49

19th European Congress of Endocrinology

Lisbon, Portugal
20 May 2017 - 23 May 2017

European Society of Endocrinology 

Browse other volumes

Article tools

My recent searches

No recent searches.