Cout direct hospitalier des accidents vasculaires cérébraux à Parakou au nord du Benin

Adoukonou, Thierry; Kouna-Ndouongo, Philomène; Codjia, Jean-Mannix; Covi, Richmine; Tognon-Tchegnonsi, Francis; Preux, Pierre‐Marie; Houinato, Dismand

doi:10.11604/pamj.2013.16.121.2790

Cited by 8 publications

(11 citation statements)

References 16 publications

(10 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In our study, there was significant difference in healthcare costs between the hospitals in the study. This has been reported previously for stroke in Cameroon [ 24 ], and elsewhere [ 23 , 29 ]. This is largely due to the differences in unit costs of medications and services between hospitals, the range of services, policies and treatment protocols.…”

Section: Discussionsupporting

confidence: 86%

“…Our study showed an average annual cost of XAF 932,700 (~US$ 1688) for ischaemic stroke and XAF 815,400 (~US$ 1476) for haemorrhagic stroke. This is higher than estimates reported from Benin [ 23 ] but similar to a previous report in Cameroon [ 11 ]. Contrary to our study, haemorrhagic stroke has consistently been reported as having higher costs compared to ischaemic stroke [ 11 , 23 ].…”

Section: Discussionsupporting

confidence: 79%

“…This is higher than estimates reported from Benin [ 23 ] but similar to a previous report in Cameroon [ 11 ]. Contrary to our study, haemorrhagic stroke has consistently been reported as having higher costs compared to ischaemic stroke [ 11 , 23 ]. However, when we compared inpatient and outpatient costs, the inpatient costs for haemorrhagic stroke were higher than for ischaemic stroke, findings that are consistent with the literature [ 20 , 24 , 25 ].…”

Section: Discussionsupporting

confidence: 79%

See 2 more Smart Citations

Estimation and determinants of direct medical costs of ischaemic heart disease, stroke and hypertensive heart disease: evidence from two major hospitals in Cameroon

Aminde

Dzudié

Mapoure

et al. 2021

BMC Health Serv Res

View full text Add to dashboard Cite

Background Cardiovascular disease (CVD) is the largest contributor to the non-communicable diseases (NCD) burden in Cameroon, but data on its economic burden is lacking. Methods A prevalence-based cost-of-illness study was conducted from a healthcare provider perspective and enrolled patients with ischaemic heart disease (IHD), ischaemic stroke, haemorrhagic stroke and hypertensive heart disease (HHD) from two major hospitals between 2013 and 2017. Determinants of cost were explored using multivariate generalized linear models. Results Overall, data from 850 patients: IHD (n = 92, 10.8%), ischaemic stroke (n = 317, 37.3%), haemorrhagic stroke (n = 193, 22.7%) and HHD (n = 248, 29.2%) were analysed. The total cost for these CVDs was XAF 676,694,000 (~US$ 1,224,918). The average annual direct medical costs of care per patient were XAF 1,395,200 (US$ 2400) for IHD, XAF 932,700 (US$ 1600) for ischaemic stroke, XAF 815,400 (US$ 1400) for haemorrhagic stroke, and XAF 384,300 (US$ 700) for HHD. In the fully adjusted models, apart from history of CVD event (β = − 0.429; 95% confidence interval − 0.705, − 0.153) that predicted lower costs in patients with IHD, having of diabetes mellitus predicted higher costs in patients with IHD (β = 0.435; 0.098, 0.772), ischaemic stroke (β = 0.188; 0.052, 0.324) and HHD (β = 0.229; 0.080, 0.378). Conclusions This study reveals substantial economic burden due to CVD in Cameroon. Diabetes mellitus was a consistent driver of elevated costs across the CVDs. There is urgent need to invest in cost-effective primary prevention strategies in order to reduce the incidence of CVD and consequent economic burden on a health system already laden with the impact of communicable diseases.

show abstract

Section: Discussionsupporting

confidence: 86%

Section: Discussionsupporting

confidence: 79%

Section: Discussionsupporting

confidence: 79%

See 1 more Smart Citation

Estimation and determinants of direct medical costs of ischaemic heart disease, stroke and hypertensive heart disease: evidence from two major hospitals in Cameroon

Aminde

Dzudié

Mapoure

et al. 2021

BMC Health Serv Res

View full text Add to dashboard Cite

show abstract

“…The functional impairment evaluated at one month by the Rankin scale [31] amended in the series note was more severe both in patients treated early (29 patients or 78.33%), than among those who were taken into load beyond one day (31 patients or 68.89%). This finding is similar to what was reported in Parakou in Benin [32]. Note that at Dakar, Senegal, in a monthly tracking study over twelve months with the Barthel's Index [33], the authors had more than half of the patients (58.3%) become self-sufficient [34].…”

Section: Functional Disability Assessed At One Monthsupporting

confidence: 85%

Prognostic Factors Associated with Mortality Related to Stroke in Bangui (Central African Republic)

M'Belesso

Yangatimbi²,

Senekian

2018

View full text Add to dashboard Cite

Stroke is a very common neurological condition that causes permanent disability in half of the cases, at least in sub-Saharan Africa. They represent the second most common cause of death in Africa. Objective of this study was to evaluate the prognostic value of the intake period of patients suffering from these conditions on the survival time of one month of hospitalization in hospitals in Bangui. We conducted a prospective study cross prognostic kind in the neurology departments, internal medicine and intensive care units of two large central hospitals from February to August 2017. Subject recruitment was complete with a made questionnaire based on the modified one of the World Health Organization on neurological disorders. A total of 154 patients were included, with a mean age of 63.15 years ± 10.98 and extremes ranging from 38 to 91 years. A male predominance was noted (60%) with a sex ratio (M/F) of 1.5. For 76 subjects (49.35%), care was taken with a hospital admission period of less than or equal to one day, while for 78 other 78 (50.65%) the admission period was higher to one day. Average admission time patients caught early was 1.00 day and the upper limit intake to one day was 4.59 ± 2.33 days with a statistically significant difference (p < 0.0001). Median admission delay for patients treated late was 4 days. Pre-hospital and hospital determinants by admission delay are presented in Table 1. The survival time was better in the group of patients who were treated early (p = 0.0039). This study shows the negative impact of late management on the survival time of patients.

show abstract

“…The stroke mortality at the Parakou University Hospital in Benin was estimated at 23.5% at 5 years, among 247 patients followed between 2012 and 2018 [8]. Stroke management is expensive; the direct hospital cost was estimated at around 620 USD in Parakou University hospital in 2011 [9].…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Stroke Risk Factors in an Urban Community at Parakou (Northern Benin) in 2016

Houehanou

Agbétou

Kossi

et al. 2021

Preprint

Self Cite

View full text Add to dashboard Cite

Background: Sub-Saharan Africa faces a high burden of stroke due to growing of their risk factors. We aimed to estimate the prevalence of stroke risk factors and to identify associated factors in the district of Titirou in Parakou (northern Benin), in 2016.Methods: It was a cross-sectional study. It included adults living in Titirou and having given their consent. A door-to-door survey was performed from 15 march to 15 July 2016 in each neighbourhood or village until the expected number reached. We recorded the socio-demographic data, medical histories, anthropometric and blood pressure measures using WHO steps approach. Prevalences of stroke risk factors were calculated and a logistic regression was done to identify factors associated with metabolic risk factors.Results: A total of 4671 participants was included with a mean age of 27.7±12.9 years and a sex ratio of 0.97. Prevalences of behavioural risk factors were estimated at: 17.2% of alcohol consumption, 21.5% of low fruits and vegetables consumption, 51.1% of low physical activity practice, and 3.5% of smoking. Metabolic risk factors prevalence’s amounted to: 8.7% of obesity, 7.1% of high blood pressure, 1.7% of self-reported diabetes and 2.2% of dyslipidaemia. Age (p<0.001), sex (p<0.001), marital status (p<0.001) and professional occupation (p=0.010) were associated with obesity. Age was also associated with high blood pressure (p<0.001) and diabetes (p<0.001). Dyslipidaemia varied according to smoking (p=0.033) and low physical activity practice (p=0.003). Conclusion: The study showed high prevalences of low physical activity practice and obesity. Targeted local interventions focused on these factors should be conducted for primary prevention of stroke in this community, or even beyond in Benin.

show abstract

Cout direct hospitalier des accidents vasculaires cérébraux à Parakou au nord du Benin

Cited by 8 publications

References 16 publications

Estimation and determinants of direct medical costs of ischaemic heart disease, stroke and hypertensive heart disease: evidence from two major hospitals in Cameroon

Estimation and determinants of direct medical costs of ischaemic heart disease, stroke and hypertensive heart disease: evidence from two major hospitals in Cameroon

Prognostic Factors Associated with Mortality Related to Stroke in Bangui (Central African Republic)

Prevalence of Stroke Risk Factors in an Urban Community at Parakou (Northern Benin) in 2016

Contact Info

Product

Resources

About