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[ Article ] Stroke care and outcomes in the Department of Neurology in Parakou, Benin: Retrospective cohort study

Date de soumission: 02-02-2021
Année de Publication: 2020
Entité/Laboratoire Laboratoire Épidémiologisque des Maladies Chroniques et Neurologiques (LEMACEN)
Document type : Article
Discipline(s) : Neurologie
Titre Stroke care and outcomes in the Department of Neurology in Parakou, Benin: Retrospective cohort study
Auteurs Adoukonou Thierry [1], HOUINATO Dismand [6],
Journal: Ann Med Surg (Lond).
Catégorie Journal: Internationale
Impact factor: 0
Volume Journal: 57
DOI: 10.1016/j.amsu.2020.07.041
Resume Introduction Stroke is one of the most common causes of high mortality rates in Africa with many unknown aspects around its prognosis. In this study we aim to describe stroke characteristics and in-hospital mortality of stroke in Parakou. Methods This is a retrospective cohort study including all stroke patients admitted to the Department of Neurology at Parakou Teaching Hospital from January 1, 2013 through to December 31, 2019. Clinical data, vascular risk factors, stroke subtype and outcome data were recorded. The in-hospital case-fatality and its associated factors were determined. The study was approved by the Local Ethics Committee of Biomedical research and has been registered under the unique indentifying number researchregistry5687 and is available at https://www.researchregistry.com/browse-the-registry#home/ Results Stroke cases represented 51.5% of all patients. There were 372 patients included in the study with a mean age of 58.2 ± 14.2 years. The sex ratio was 1:3. Ischemic stroke accounted for 40.3%, intracerebral hemorrhage 30.4%, and unknown 29.3%. The main vascular risk factors were hypertension (69.1%), alcoholism (23.9%) and diabetes mellitus (16.9%). The mean NIHSS at admission was 9.4 ± 5.7 and the length of hospital stay was 9.0 ± 7.3. The most common complications recorded during the acute phase were swallowing disorders (10.2%), pneumonia (9.1%) and urinary tract infections (8.3%). The in-hospital case fatality was 6.2% and was associated with loss of consciousness (p = 0.0001), high NIHSS on admission (p = 0.001), fever (p = 0.0001), swallowing disorders (p = 0.001) and leukocytosis (p = 0.021). On discharge, 27.6% were independent and 97.8% were on antihypertensive drugs. Conclusion The in-hospital stroke mortality was close to that reported by other studies in Africa.
Mots clés Stroke, Mortality, Benin
Pages 148 - 152
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