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Relationship between intracerebral hemorrhage and diabetes mellitus: a case-control study
Omid Hesami1, Hosein Delavar Kasmaei2, Fateme Matini2
1Faculty, Department of Neurology, Imam Hosein Hospital, Shahid Beheshti University of Medical Sciences , Tehran, Iran .
Insights
Diabetes mellitus was not significantly linked to intracerebral hemorrhage (ICH) overall. However, a higher prevalence was observed in younger patients, suggesting a potential association requiring further investigation.
Area of Science:
- Neurology
- Endocrinology
- Epidemiology
Background:
- The link between diabetes mellitus and intracerebral hemorrhage (ICH) remains debated.
- Comorbidities like diabetes mellitus may elevate ICH risk.
- This study investigates the association between diabetes mellitus and ICH occurrence.
Purpose of the Study:
- To assess the role of diabetes mellitus in the development of intracerebral hemorrhage.
- To determine if diabetes mellitus is a risk factor for ICH.
Main Methods:
- A case-control study was conducted with 120 ICH patients and 135 controls (low back pain).
- Diabetes mellitus prevalence was compared between groups.
- Statistical analysis included t-tests and chi-square/Fisher's exact tests.
Main Results:
- No significant overall difference in diabetes mellitus prevalence between ICH patients (33.1%) and controls (22.2%) (p=0.054).
- A significant association was found in patients younger than 60 years (27.8% vs. 7.4%, p=0.042).
- Diabetes mellitus was not linked to bleeding in specific brain areas.
Conclusions:
- No significant association between diabetes mellitus and intracerebral hemorrhage was found in the general study population.
- A notable exception was observed in patients under 60 years old.
- Further research is needed to clarify the correlation between diabetes mellitus and ICH in this population.
Introduction:
The role of diabetes mellitus in the pathogenesis of intracerebral hemorrhage (ICH) is controversial. Underlying comorbidities such as diabetes mellitus may increase the risk of intracerebral hemorrhage. In this study, we sought to assess the role of diabetes mellitus in the occurrence of intracerebral hemorrhage.
Materials And Methods:
In this case-control study, the prevalence of diabetes mellitus was evaluated in 120 patients presenting with intracerebral hemorrhage and in a control group of 135 patients with low back pain. All patients were treated at the Departments of Neurology and Neurosurgery, Shohadaye Tajrish University Hospital, Tehran, Iran between 2008 and 2012. T-test was applied for analysing the quantitative variables and chi-square and Fisher's exact tests were used to analyse qualitative variables.
Results:
The mean age was 67.5±12.7 y in patients with intracerebral hemorrhage and 70.5±12.6 y in the control group (p=0.201). Diabetes mellitus was found in 39 patients with intracerebral hemorrhage (33.1%) and 30 (22.2%) control subjects (p=0.054). The prevalence of diabetes mellitus in patients younger than 60 y was 7.4% in the control group and 27.8% in the case group (p=0.042).
Conclusion:
In our study, no significant relationship was found between diabetes mellitus and intracerebral hemorrhage (except in patients younger than 60 years) and diabetes mellitus did not cause bleeding in certain brain areas. However, more studies are required on the correlation of diabetes mellitus and intracerebral hemorrhage in the same population to reach a definite conclusion.
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