Abstract

GONZALEZ ALFARO, Sandy et al. Characterization of recent stroke mortality in diabetic patients. Rev Cub Med Mil [online]. 2014, vol.43, n.2, pp.185-195. ISSN 0138-6557.

Introduction: the cerebrovascular disease is the thirst cause of death in Cuba. The epidemiological link between diabetes and cerebrovascular disease has a significant clinical interest due to the high population prevalence of both processes. Objective: to characterize clinically and pathologically deceased diabetic patients who were diagnosed with cerebral infarction and their autopsy was conducted from 2004 to 2010. Methods: transversal descriptive study in 77 diabetic patients who had died with recent cerebral infarct at "Dr. Carlos J. Finlay" Central Military Hospital. Data was introduced and processed in the statistic packet SPSS 11.5. Results: the male sex was predominant. The age range predominant was 75 to 84 years for both sexes. The main clinical manifestations observed were mobility deficits, disorders of consciousness, and seizures. The main direct cause of death was cerebral edema. Deceased with high levels of glucose in the first 14 days were in the majority; the association of hemorrhagic transformation with high blood glucose levels was statistically significant. Conclusion: the presence of high leves of glucose impacted in a bigger mortality, during the first two weeks and in the appearance of hemorrhagic transformation of cerebral infarction.

Keywords : cerebral infarction; diabetes mellitus; deceased patients.

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