Abstract HUP4: The Relationship Between Stress-induced Hyperglycemia and the Prognosis of Subarachnoid Hemorrhage: A Study Based on the Chinese Stroke Center Alliance

Background: Subarachnoid Hemorrhage (SAH) represents a serious and frequently fatal disease, now recognized as a profound threat to global public health. However, the correlation between stress hyperglycemia ratio (SHR), glycemic gap (GG), and SAH prognosis remains undefined. Methods: This research utilized data from the Chinese Stroke Center Alliance Study. Stress-induced hyperglycemia was assessed using GG and SHR. The study population was divided into four groups based on the quartiles of SHR and GG. The primary outcome was the Modified Rankin Scale (mRS) score at discharge; a discharge mRS score ≥2, including death, denoted a poor outcome. Results: 3,812 SAH patients were included in the study. After multivariate adjustment, each standard deviation increase in SHR was associated with an increased risk of poor outcomes (OR=1.15, 95%CI: 1.06-1.25, P