Studies have indicated that
hyperglycemia might cause cerebral damage to patients after acute
intracerebral hemorrhage (ICH). But systematic studies on the effects of diabetes, stress
hyperglycemia and normal serum
glucose level on the prognosis of ICH patients are insufficient. It is essential to explore the prognosis among them. According to their serum
glucose level within 24
h, 189 patients with ICH were divided into three groups: diabetes (group A), stress
hyperglycemia (group B) and normal serum
glucose (group C). The activity of daily living ability of patients was evaluated by Barthel index at 30 days after admission. The data analysis was done using cumulative logit model and rank sum test. Significant differences were observed in prognosis between group A and group C (OR: 0.056; CI: 0.022-0.143; p<0.0001), B and C (OR: 0.081; CI: 0.039-0.167; p<0.0001), respectively; there was no significant difference between A and B (p>0.05). No difference was found between A and B in the early serum
glucose level, but significant differences were observed between A and C, and between B and C. Early
hyperglycemia may worsen the prognosis of ICH patients, though patients with diabetes or stress
hyperglycemia after ICH may have similar outcomes when early serum
glucose levels fluctuate within the same range.