Epidemiology of Hospitalized Patients in Neurology: Experience of Cocody Teaching Hospital at Abidjan (Côte-D\'ivoire)

Cowppli-Bony, Pascale; Sounan-Douayoua, Thérèse; Akani, F; Datié, A.; Berthé, Abdramane; Aka-Diarra, Evelyne; Yapo, Félix Boa; Kouassi, Ernest Beugré

doi:10.4314/ajns.v23i2.7553

Cited by 3 publications

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“…Another study in Nigeria by Osuntokun [ 6 ] reported infections of the nervous system to be the commonest neurological problem, followed by vascular disease and epilepsy. In Ivory Coast, stroke was reported in 42.18% followed by cerebral toxoplasmosis (17.9%) and meningo-encephalitis in 11.9% in a hospital-based study [ 23 ]. In Ethiopia [ 24 ], cerebrovascular disease (45%) was the most common neurological pathology seen, followed by bacterial meningitis (12%).…”

Section: Discussionmentioning

confidence: 99%

The pattern of neurological diseases in elderly people in outpatient consultations in Sub-Saharan Africa

et al. 2015

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BackgroundNeurological diseases are frequent in older adults, affecting between 5% and 55% of people age 55 and older. They are associated with a high risk for adverse health outcomes, including mortality, disability, institutionalization and hospitalization. Little is known about the epidemiology and clinical pattern of neurological disorders of the elderly in developing countries. Although many studies have demonstrated the areas where the burden of neurological diseases lies, elderly patients in Sub-Saharan Africa have received little attention. We performed this descriptive study to understand the burden of disease faced by Cameroonian neurologists and geriatricians.MethodsThe records of all out-patient neurological consultations from May 2005 to December 2011 were collected at the Clinique Bastos, the sole clinic with adult neurological consultations during the study period in Yaoundé, the political capital of Cameroon. All medical records were reviewed by a neurologist and neurological diagnoses were classified according to ICD-10.ResultsAmong a total of 912 patients, 187 (20.5%) were aged 60 and older. According to the ICD-10 classification, episodic and paroxysmal disorders were present in 18.7% of patients, extrapyramidal and movement disorders in 14.6%, and nerve, nerve root and plexus disorders in 13.3%. The most common neurological diseases of the elderly in this study were lumbar arthrosis (14%), dementia (Alzheimer’s type, vascular) (12.4%), Parkinson’s disease (10.2%), and polyneuropathy (9.1%).ConclusionDegenerative diseases like dementia and Parkinson’s disease as well as strokes and headaches are frequently encountered neurological diseases in elderly patients in Sub-Saharan Africa. It is important that standard treatment regimes, often Ministry of Public Health based, are adhered to these diseases.

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Section: Discussionmentioning

confidence: 99%

The pattern of neurological diseases in elderly people in outpatient consultations in Sub-Saharan Africa

et al. 2015

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“…Another study in Nigeria by Osuntokun [2] reported infections of the nervous system as the commonest neurological problem, followed by vascular disease and epilepsy. Indian studies reported a high prevalence of epilepsy in 20.6% [8] while in Ivory Coast where all the patients were admitted for hospitalization, stroke was reported in 42.18% followed by cerebral toxoplasmosis (17.9%) and meningo-encephalitis in 11.9% [9]. In Madagascar, the most prevalent disease was epilepsy (28.75%) followed by chronic headache (20.95%), peripheral neuropathies (13.75%) and stroke in 11.3% [6].…”

Section: Discussionmentioning

confidence: 99%

“…Although the proportion of our stroke cases represent only 3.18% of cases, compared to those reported in the majority of African hospital-based studies [2, 3, 5, 9–11], they constitute a real human and economic burden; the lack of appropriate diagnosis and urgent therapeutic supplies may explain the high mortality rate, and the worse functional prognosis [6]. …”

Section: Discussionmentioning

confidence: 99%

The spectrum of neurological disorders presenting at a neurology clinic in Yaoundé, Cameroon

Tegueu¹,

Nguefack²,

Jacques³

et al. 2013

Pan Afr Med J

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IntroductionThe burden of these neurological diseases is higher in developing countries. However, there is a paucity and scarcity of literature on neurological diseases in sub-Saharan Africa. This study was therefore undertaken to determine the pattern of neurological diseases in this setting and then, compare to those elsewhere in the African continent and also serve as a baseline for planning and care for neurological disorders in Cameroon.MethodsThe study was conducted at the Clinique Bastos, in Yaoundé, city capital of Cameroon, centre region. Over a period of six years, all medical records were reviewed by a neurologist and neurological diagnoses classified according to ICD-10.ResultsOut of 4526 admissions 912 patients (20.15%) were given a neurological diagnosis. The most frequent neurological disorders were headache (31.9%), epilepsy (9.86%), intervertebral disc disorder (7.67%), followed by lumbar and cervical arthrosis, polyneuropathy, stroke, Parkinson disease and dementia. According to ICD-10 classification, Episodic and paroxysmal disorders (headaches, epilepsy, cerebrovascular, sleep disorders) were observed on 424 (46.48%) patients; followed by nerve, nerve root and plexus disorders in 115 (12.6%) patients.ConclusionThe above data emphasizes that neurological disease contributes substantially to morbidity in an urban African hospital. Headaches, epilepsy and intervertebral disc disorders are major causes of morbidity.

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“…More than 70% of these deaths occur in developing countries [1]. In sub-Saharan Africa, hospital-based studies have found stroke to be the leading cause of admission in neurology, with a mortality during admission going up to 43% in some cases [3,4]. In Cameroon, despite a cost of treatment averaging 1382USD (22 times the minimal monthly wage) per patient [5], intra-hospital stroke mortality remains high.…”

Section: Introductionmentioning

confidence: 99%

Medium-term Survival Following of Stroke in Yaoundé (Cameroon): a prospective observational cohort study

Wafeu

Fozeu

Ongolo‐Zogo

et al. 2020

Journal of Stroke and Cerebrovascular Diseases

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With 5.7 million deaths per year, stroke is the second cause of mortality worldwide, and 70% of these deaths occur in developing countries especially in relation to inappropriate clinical pathways and resources. The aim of our study was to assess the survival rate of stroke patients within 90 days and to identify its determinants. It was a prospective observational cohort study over a period of 90 days after stroke. Patients were recruited between February and May 2015 in two tertiary hospitals in Yaoundé. The mortality rate was obtained by the Kaplan-Meier method. Multivariate analysis was performed using a Cox proportional hazards model. Sixty-six patients were enrolled of which 54 were followed up to 90 days. The overall mortality rate was 23.2% (95% CI: 12.5-87.5), more than twothirds of the deaths occurred within the first 30 days. The mortality rates at days 14, 30, 60 day were

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Epidemiology of Hospitalized Patients in Neurology: Experience of Cocody Teaching Hospital at Abidjan (Côte-D\'ivoire)

Cited by 3 publications

References 0 publications

The pattern of neurological diseases in elderly people in outpatient consultations in Sub-Saharan Africa

The pattern of neurological diseases in elderly people in outpatient consultations in Sub-Saharan Africa

The spectrum of neurological disorders presenting at a neurology clinic in Yaoundé, Cameroon

Medium-term Survival Following of Stroke in Yaoundé (Cameroon): a prospective observational cohort study

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