| Titre |
Short Term (3 Months) Prognosis of Stroke in Parakou |
| Auteurs |
Adoukonou Thierry [1],
KOSSI Oyéné [2],
AGBETOU Mendinatou [3],
TCHAOU BLAISE [4],
AGBALLA G [5],
Houinato Dismand [6],
|
| Journal: |
Neuroscience & Medicine |
| Catégorie Journal: |
Internationale |
| Impact factor: |
0 |
| Volume Journal: |
9 |
| DOI: |
|
| Resume |
Background: The burden of stroke is very high in sub-Saharan Africa. The
identification of the factors influencing poor outcome can help to reduce this
burden. Objective: To study factors influencing the prognosis of stroke at
Parakou. Methods: It was a prospective study conducted over two periods:
inclusion period between 1st January and 30 June 2013; monitoring period of
survivors between 1st July and 30 September. All consecutive patients admitted
in the hospitals for stroke in the study period were included. The functional
outcomes were assessed by the RANKIN scale (RANKIN > 2). Epi-info
version 7 and SPSS version 16 were used for the statistical analyses. Results:
We recruited 85 patients; mean age was 52 ± 15 years. The housewives and the
unschooled represented respectively 33% and 65%. The mortality rates at 1
and 3 month were respectively 27% and 32%. Factors associated with mortality
were female gender, stroke severity, disorders of consciousness, hyperthermia
and hyperglycemia at admission, overweight, pneumonia, anemia, hyperleucocytosis,
higher total and LDL serum cholesterol levels at 1 month; housewife
status and pneumonia were associated at 3 month. 47% of survivors were
independent at 1 month. Stroke severity and length of hospital stay were associated
with disability at 1 month whereas previous stroke and disability history,
stroke severity, weight and length of hospital stay were related with 3
month poor functional outcome. Conclusion: This study showed the poor
outcome of stroke patients in Parakou which were influenced by many factors.
Taking account of these factors in the strategies of care in the acute phase may
improve the prognosis of stroke patients. |
| Mots clés |
Mortality, Prognosis, Stroke, Parakou |
| Pages |
81 - 93 |
| Fichier |
 (PDF) |