{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,12]],"date-time":"2025-10-12T01:49:45Z","timestamp":1760233785423,"version":"build-2065373602"},"reference-count":25,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2021,2,18]],"date-time":"2021-02-18T00:00:00Z","timestamp":1613606400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Basic Science Research Program through the National Research Foundation (NRF) of Korea funded by the Ministry of Science and ICT","award":["NRF-2018R1C1B5086320"],"award-info":[{"award-number":["NRF-2018R1C1B5086320"]}]},{"name":"Hallym University Research Fund 2020","award":["HURF-2020-37"],"award-info":[{"award-number":["HURF-2020-37"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JPM"],"abstract":"<jats:p>Background: Poststroke hyperglycemia is associated with poor outcomes. Most prior studies used initial glucose as an indicator of poststroke hyperglycemia without considering glycemic control status at the time of stroke occurrence. We aimed to investigate the effect of an admission-glucose gap on short-term functional outcomes in acute ischemic stroke (AIS). Methods: We enrolled patients with AIS or transient ischemic attack who had been admitted within 7 days of symptom onset to three stroke centers from May 2016 to December 2019. The admission-glucose gap between estimated average glucose levels (eAG) and initial glucose level (eAG\u2013initial glucose) was categorized into four groups. The short-term functional outcome was evaluated using the modified Rankin Scale (mRS) score at 3 months after stroke onset and was dichotomized. Results: Among 1332 included subjects, 548 (41.1%) had poor short-term functional outcomes. After adjusting for multiple variables, a severe negative glucose gap (eAG\u2013initial glucose \u2264 \u221250 mg\/dL) was significantly associated with poor short-term functional outcome (OR, 1.573; 95% CI, 1.101\u20132.248). After dichotomizing glycemic control status, its significance was only maintained in the good glycemic control group (HbA1c &lt; 6.5%) (OR, 1.914; 95% CI, 1.155\u20133.169). Conclusions: An elevated admission-glucose gap, in which the initial glucose level was much higher than the estimated glucose level was based on HbA1c, was associated with poor stroke prognosis. In addition to admission-glucose levels, glycemic control status at the time of stroke onset should be considered when predicting short-term stroke outcomes.<\/jats:p>","DOI":"10.3390\/jpm11020139","type":"journal-article","created":{"date-parts":[[2021,2,18]],"date-time":"2021-02-18T20:56:21Z","timestamp":1613681781000},"page":"139","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Personalized Consideration of Admission-Glucose Gap between Estimated Average and Initial Glucose Levels on Short-Term Stroke Outcome"],"prefix":"10.3390","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7108-6302","authenticated-orcid":false,"given":"Yerim","family":"Kim","sequence":"first","affiliation":[{"name":"Department of Neurology, Kangdong Sacred Heart Hospital, Hallym University College of Medicine, Seoul 05355, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sang-Hwa","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Neurology, Chuncheon Sacred Heart Hospital, Hallym University College of Medicine, Chuncheon 24253, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8762-8340","authenticated-orcid":false,"given":"Chulho","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Neurology, Chuncheon Sacred Heart Hospital, Hallym University College of Medicine, Chuncheon 24253, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Min Kyoung","family":"Kang","sequence":"additional","affiliation":[{"name":"Department of Neurology, Uijeongbu Eulji Medical Center, Eulji University College of Medicine, Uijeonbu-si 11759, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8597-807X","authenticated-orcid":false,"given":"Byung-Woo","family":"Yoon","sequence":"additional","affiliation":[{"name":"Department of Neurology, Uijeongbu Eulji Medical Center, Eulji University College of Medicine, Uijeonbu-si 11759, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tae Jung","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Neurology, Seoul National University College of Medicine, Seoul 03080, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jong Seok","family":"Bae","sequence":"additional","affiliation":[{"name":"Department of Neurology, Kangdong Sacred Heart Hospital, Hallym University College of Medicine, Seoul 05355, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ju-Hun","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Neurology, Kangdong Sacred Heart Hospital, Hallym University College of Medicine, Seoul 05355, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2021,2,18]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1097\/MCA.0b013e32835b3971","article-title":"Hemoglobin A1c and short-term outcomes in patients with acute myocardial infarction undergoing primary angioplasty: An observational multicenter study","volume":"24","author":"Tian","year":"2013","journal-title":"Coron. 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