Association Between the Hemoglobin Glycation Index and the Risk of Delirium in Stroke Patients Admitted to the Intensive Care Unit: A Retrospective Study Based on the MIMIC‐IV Database
The association between HGI levels and the risk of PSD during intensive care unit (ICU) stay in stroke patients during intensive care unit (ICU) stay in stroke patients was evaluated.
Abstract
The hemoglobin glycation index (HGI) has been introduced to reflect discrepancies between chronic baseline glucose and acute stress‐induced glucose changes. HGI has been linked to neurological recovery and poor prognosis among stroke patients. However, its role in poststroke delirium (PSD) remains to be clarified. This study aimed to evaluate the association between HGI levels and the risk of PSD during intensive care unit (ICU) stay in stroke patients.
The impact of acute glycemic dysregulation on mortality in delirious patients is moderated by underlying chronic hyperglycemia, suggesting individualized glucose management based on chronic glycemic status may be preferable to uniform strict control.
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