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Prevalence of cerebrovascular accident in 4349 diabetic cases

J C Patel

    Indian Journal of Medical Sciences
    |March 1, 1989
    PubMed

    Insights

    Cerebrovascular accident (CVA) occurred in 9.45% of diabetes patients. Older age groups, particularly 61-70 years, showed higher prevalence, with mortality increasing significantly after 70 years.

    Area of Science:

    • Neurology
    • Endocrinology
    • Public Health

    Background:

    • Diabetes mellitus is a significant risk factor for cardiovascular diseases.
    • Cerebrovascular accident (CVA), or stroke, is a major complication of diabetes.
    • Understanding the prevalence and risk factors of CVA in diabetic populations is crucial for preventative strategies.

    Purpose of the Study:

    • To determine the prevalence of cerebrovascular accident (CVA) among diabetic patients.
    • To investigate the relationship between CVA and demographic factors, diabetes severity, and hypertension.
    • To analyze age-specific prevalence and mortality rates of CVA in diabetes.

    Main Methods:

    • Retrospective analysis of 4349 diabetic patients admitted to Bombay Hospital from 1967 to 1975.
    • Data collection on patient demographics, diabetes type and severity, blood pressure, and CVA occurrence.
    • Statistical analysis to identify significant correlations and risk factors.

    Main Results:

    • CVA prevalence was 9.45% (411 cases) in the studied diabetic population.
    • Higher CVA prevalence was observed in the 61-70 years age group, with mortality significantly increasing in those over 70.
    • CVA was more common in mild diabetes, but mortality was higher in severe diabetes and severe hypertension.

    Conclusions:

    • Age is a significant risk factor for CVA in diabetic patients, with increased mortality in older individuals.
    • While CVA prevalence varied with diabetes type and blood pressure, its occurrence was not related to diabetes duration or sex.
    • These findings highlight the importance of managing hypertension and diabetes severity to reduce CVA risk and mortality in diabetic patients.

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