Association between stress hyperglycemia ratio and prognosis in acute ischemic stroke: a systematic review and meta-analysis

• Published in: BMC neurology Vol. 24; no. 1; p. 13
• Main Authors: Jiang, Zhuoya, Wang, Kunyu, Duan, Hanying, Du, Heqian, Gao, Su, Chen, Jing, Fang, Shaokuan
• Format: Journal Article
• Language: English
• Published: England BioMed Central Ltd 02.01.2024; BioMed Central; BMC
• Subjects: Acidosis; Acute ischemic stroke; Analysis; Blood sugar; Brain research; Clinical outcomes; Cohort analysis; Complications and side effects; Database searching; Diabetes; Diagnosis; Glucose; Glycosylated hemoglobin; HbA1c; Hemoglobin; Hyperglycemia; Inflammation; Internet/Web search services; Ischemia; Meta-analysis; Online searching; Patients; Prognosis; Risk factors; Sensitivity analysis; Stress hyperglycemia; Stress hyperglycemia ratio; Stroke; Stroke (Disease); China; Acute ischemic stroke; HbA1c; Stress hyperglycemia; Stress hyperglycemia ratio; Meta-analysis
• ISSN: 1471-2377; 1471-2377
• DOI: 10.1186/s12883-023-03519-6

Stress hyperglycemia is a relatively transient increase in blood glucose in response to inflammation of the body and neurohormonal disorders. It is still debated whether stress hyperglycemia ratio (SHR) in the acute phase, a new indicator of stress hyperglycemia, is related to poor prognosis in acute ischemic stroke (AIS) patients. This meta-analysis provides insight into the connection between SHR and prognosis in AIS patients. We screened all potentially relevant studies using a comprehensive database search. The standardized mean difference (SMD) and 95% confidence interval (CI) were utilized to investigate the relationship between SHR in the acute phase and the prognosis of AIS. The pooled results revealed that AIS patients with poor prognoses had significantly higher SHR values than those with good prognoses (SMD = 0.56, 95%CI: 0.37-0.75, p<0.001). Subgroup analysis indicated that study design and differences in post-stroke treatment might be the sources of heterogeneity in this meta-analysis. High SHR in the acute period is related to poor prognosis after AIS. SHR may be a new predictor of poor outcomes in AIS patients.