Publications Scientifiques

[ Article ] Stroke after Hospitalization: Assessment of Functional Prognosis through Disability and Dependency in CNHU-HKM, Cotonou, Benin

Date de soumission: 18-02-2017
Année de Publication: 2014
Entité/Laboratoire Autres laboratoires
Document type : Article
Discipline(s) : Santé Publiques, Services médicaux & soins de santé
Titre Stroke after Hospitalization: Assessment of Functional Prognosis through Disability and Dependency in CNHU-HKM, Cotonou, Benin
Auteurs GNONLONFOUN DIEU-DONNÉ [1], Ossou-Nguiet Paul Macaire [2], Diallo Lansana Laho [3], ADJIEN KODJO CONSTANT [4], Avlessi Isaac [5], Houannou Octave [6], Goudjinou Gérald [7], ACAKPO Jocelyn [8], Houinato Dismand [9], AVODE DOSSOU GILBERT [11],
Journal: Neuroscience and Medicine
Catégorie Journal: Nationale
Impact factor: 0
Volume Journal: 5
DOI: 10.4236/nm.2014.53017
Resume Introduction: Stroke results in severe disability, with impacts that are sometimes socially, emotionally or professionally dramatic and also dramatic for the cost involved in care and treatment. Objective: Assessing the functional prognosis after hospitalization and identifying associated factors. Method: It consisted in a cross-sectional, prospective, descriptive and analytical study that was conducted from April 1 to August 31, 2013 in the Neurology Department of CNHU-HKM in Cotonou. It involved 100 patients who have known stroke for at least 6 months and were all admitted and discharged later on. The disease survivors were re-contacted and examined again at home or at hospital. Disability and dependency were then measured respectively with the Rankin score and Barthel index. The STATA/IC11.0 statistical software was used as the basis for data analysis. Unvaried and multi-varied analyzes helped to identify associated factors. Results: The overall disability and dependency rates were respectively 69% and 57.7%. And the highest rate of disability (38.8%) was observed between 50 and 60 years old. However, dependency prevalence was higher in subjects above 70 years old (37.3%). Regarding gender, the prevalence of disability was 59.2% in men and rather 41.5% in women. Predictors of disability and dependency were paralysis on admission (IC95% = 0.26 [0.77 - 0.92]; p = 0.036), obesity (IC95% = 0.26 [0.77 - 0.92]; p = 0.012) and monthly income lower than 70$US (IC95% = 0.05 [0.01 - 0.56]; p = 0.015). Conclusion: This study enabled us to assess the functional outcome of patients once discharged. The significance of motor deficit on stroke occurrence, obesity and the low monthly income were factors of poor functional prognosis.
Mots clés Stroke, Hospitalization, CNHU-HKM, Cotonou
Pages 1 - 139
Fichier

Publications par entité

  • Centre de Formation et de Recherche en matière de Population (CEFORP) (15)
  • Centre Interfacultaire de Formation et de Recherche en Environnement pour le Développement Durable (CIFRED) (18)
  • Chaire Internationale en Physique Mathématique et Applications (CIPMA-Chaire UNESCO) (16)
  • Ecole Nationale d'Administration et de Magistrature (ENAM) (41)
  • Ecole Nationle d'Economie Appliquée et de Management (49)
  • Ecole Normale Supérieure (16)
  • Ecole Polytechnique d'Abomey-Calavi (EPAC) (793)
  • Faculté de droit et de Science Politique (FADESP) (40)
  • Faculté des Lettres et Sciences Humaines (FLASH) (711)
  • Faculté des Sciences Agronomiques (1334)
  • Faculté des Sciences de la Santé (FSS) (1454)
  • Faculté des Sciences Economiques et de Gestion (FASEG) (118)
  • Faculté des Sciences et Techniques (FAST) (716)
  • Faculté des Sciences Humaines et Sociales (FASHS) (15)
  • Institut de Formation et de Recherche en Informatique (IFRI) (65)
  • Institut de Mathématiques et de Sciences Physiques (IMSP) (48)
  • Institut National de l'Eau (INE) (13)
  • INSTITUT NATIONAL DE LA JEUNESSE DE L’EDUCATION PHYSIQUE ET SPORT(INJEPS) (187)
  • Institut National des Métiers d'Art d'Archéologie et de la Culture (INMAAC) (4)
  • Institut Régional de Santé Publique (IRSP) (47)

Publications par sexe

  • Femme( 820 )
  • Homme (