Épidémiologie des accidents vasculaires cérébraux

Béjot, Yannick; Touzé, Emmanuel; Jacquin, Agnès; Giroud, Maurice; Mas, Jean Louis

doi:10.1051/medsci/2009258-9727

Cited by 26 publications

(14 citation statements)

References 26 publications

(6 reference statements)

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“…Stroke is the leading cause of acquired physical disability in adults, the second leading cause of dementia after Alzheimer's disease, and the third leading cause of death in developing countries [1,2]. Stroke, in addition to the physical consequences for the individual, has a significant psychological and financial impact on the family and the health system [3].…”

Section: Introductionmentioning

confidence: 99%

Frequency and Mortality Risk Factors of Acute Ischemic Stroke in Emergency Department in Burkina Faso

Dabilgou

Dravé²,

Kyelem

et al. 2020

Stroke Research and Treatment

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Objective. To determine the prevalence of ischemic stroke deaths and their predictive factors in the Emergency Department at Yalgado Ouedraogo University Teaching Hospital (YOUTH). Methodology. This was a retrospective study with an analytical and descriptive focus over a period of three years from January 1, 2015, to December 31, 2017. Results. During the study period, 302 acute ischemic stroke patients with a mean age of 62.2±14.26 years were included. Atrial hypertension was the most common vascular risk factor in 52.5%. On admission, 34.8% of patients had loss of consciousness. The mean time to perform brain CT was 1.5 days. The average length of stay was 4 days. Electrocardiogram, echocardiography, and cervical Doppler were not performed during hospitalization in ED. The mortality rate was 39%, respectively, 37.6% in male and 41.6% in female. The mean age of patients who died in ED was 63.6±13.52 years. Hypertension was the most common vascular risk factors in 54.2% of death. After logistic regression, the predictors of death were past history of heart disease, consciousness disorders, hyperthermia, hyperglycemia on admission, poststroke pneumonia, and urinary tract infection. Conclusions. Acute ischemic stroke was frequent in Emergency Department with high mortality rate. The mortality risk factors were the same than those found in literature. This higher mortality can be avoided by early diagnosis and an adequate management.

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Section: Introductionmentioning

confidence: 99%

Frequency and Mortality Risk Factors of Acute Ischemic Stroke in Emergency Department in Burkina Faso

Dabilgou

Dravé²,

Kyelem

et al. 2020

Stroke Research and Treatment

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“…These studies show that smoking increases the risk of having a stroke, probably in the short term, through prothrombotic effects. Low exposures to tobacco are likely to activate platelet aggregation and cause acute and longer-term hemodynamic changes by promoting the development of atherosclerosis [15]. While hypertension remains the major FDR for strokes with more than 80% of cases worldwide [8] [21].…”

Section: Discussionmentioning

confidence: 99%

Epidemiological Aspects of Stroke in Young People at the Friendship University Hospital Center in Bangui in the Central African Republic

Yangatimbi¹,

Zobanga²,

Grégbia³

et al. 2020

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Introduction: Stroke is a major public health problem even more dramatic in young people. Goal of the study: To make our contribution to the knowledge of strokes of the young subject. Methodology: It was a retrospective study conducted over a period of 02 years (January 2017 to December 2018) including the files of patients aged 18 to 49 years hospitalized for any suspected case of stroke in the Department of Neurology of C between Hospitalier A Sino-Central African Friendship University (CHUSCA) from Bangui. Results: During the study, 225 cases of stroke were recorded, including 26 cases in young subjects, representing a hospital frequency of 11.5%. The average age was 42.5 years with extremes ranging from 24 to 49 years. The most represented age group was 45 and 49 with a sex ratio (M/F) of 1.36. The average age for men was 41.93 years compared to 39.27 years for women. Civil servants were in the majority in 50% of the cases. Alcohol was the main FDR (80.8%) followed by hypertension (61.5%) and tobacco (50%). The majority of patients (57.70%) were admitted to neurology after the first 24 hours. Ischemic stroke represented 73.08% compared to 26.92% of AVCH. The lethality was 20.08%. The sequelae were found in 69.20% of cases. Cardiac exploration had found 57.10% of LVH. Conclusion: This study confirms a high frequency of stroke in the young subject. The predominance of modifiable FRCVs requires the implementation of a specific strategy based on awareness, early detection and effective and adequate PEC.

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“…Stroke is the leading cause of acquired disability in adults [1] [4] [5]. Based on available world health organisation (WHO) data, the annual number of strokes worldwide will drop from 16 million in 2005 to 23 million by 2030, due to the aging of the population [6] [7]. In 2005, the number of stroke survivors was 62 million [7].…”

Section: Introductionmentioning

confidence: 99%

Recognition of Warning Signs by the Patient with Ischemic Stroke and Impact on Emergency Department Admission Times

Serge¹,

Aristide²,

Cristella³

et al. 2021

OJEM

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The general objective of this study was to assess the impact of the recognition of warning, signs of ischemic stroke, on the reduction of emergency admission times and the improvement of the prognosis of the patient suffering from ischemic stroke in the emergency department of the Yaounde central hospital. Methods: This was a prospective study with a descriptive and analytical aim carried out in the medical emergency department of the central hospital of Yaounde over a period of 3 months, going from October to December 2020. All patients admitted to emergency departement, during this period, for a diagnosis of ischemic stroke confirmed by a brain CT scan were included in the study. The data was collected on a survey sheet divided into 3 sections: the patient, the assessment of his knowledge and his reaction to the stroke. The variables studied were socio-demographic data, cardiovascular risk factors and warning signs of stroke. Data analysis was conducted with Census and Survey Processing System (CSPRO). Results: During the study period, 62 patients met the inclusion criteria. Adults under 50 (41.94%) were the most represented age group. The mean age of the patients was 52.3 years with ranges ranging from 36 to 82 years. The sex ratio was 1.38 in favor of women. The most common unmodifiable cardiovascular risk factor was age over 55 years 44%. High blood pressure 61% was the most common modifiable risk factor. More than half of the study population had no knowledge of How to cite this paper:

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Épidémiologie des accidents vasculaires cérébraux

Cited by 26 publications

References 26 publications

Frequency and Mortality Risk Factors of Acute Ischemic Stroke in Emergency Department in Burkina Faso

Frequency and Mortality Risk Factors of Acute Ischemic Stroke in Emergency Department in Burkina Faso

Epidemiological Aspects of Stroke in Young People at the Friendship University Hospital Center in Bangui in the Central African Republic

Recognition of Warning Signs by the Patient with Ischemic Stroke and Impact on Emergency Department Admission Times

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