Facteurs predictifs de mortalite par accident vasculaire cerebral (AVC) a la Clinique Neurologique du chu de Fann, Dakar - Senegal

Touré, K; Diagne, SN; Seck, Lala Bouna; Sow, A; Ndiaye, M; Diop, MS; Gueye, L; Ag, Diop; Ndiaye, M.

doi:10.4314/ajns.v29i2.70403

Cited by 6 publications

(7 citation statements)

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“…Regarding sex, we found that men were the most represented in our sample without a statistically significant difference. This finding is consistent with descriptions by some authors in Congo (62.70 years) in Central Africa [14], Dakar (61.3 years) and Mauritania (58 years) in West Africa [15] as in the West [16], apart from Touré et al who have regained a female predominance [10]. For this variable, it is merely a finding which has no scientific explanation.…”

Section: Age and Sexsupporting

confidence: 92%

“…This study shows that the average age of stroke patients was 63.15 years with extremes of 38 and 91 years. These data overlap with those described, both in Africa [10] [14] [15] and in the West [16] and Middle East [17]. This great age confirms the influence of this variable as a risk factor for stroke and corroborates the data of literature [18].…”

Section: Age and Sexsupporting

confidence: 90%

“…The prognostic factors of hospitalized stroke are dominated by neurological factors (seizures, recurrent stroke), cardiac factors and decubitus complications. The overall mortality at one month ranges from 20.3% to 44.6% in sub-Saharan Africa compared with 22.9% in the West [7] [8] [9] [10]. In addition, care in a specialized setting within the first 48 hours reduces the mortality and disability rate by 20% [11].…”

Section: Introductionmentioning

confidence: 99%

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

M'Belesso

Yangatimbi²,

Senekian

2018

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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.

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Section: Age and Sexsupporting

confidence: 92%

Section: Age and Sexsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

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

M'Belesso

Yangatimbi²,

Senekian

2018

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“…Ischemic stroke was predominantly noted in our study. The same is true of work done in Nouakchott [19], Dakar [20], Singapore [21]. But other authors have noted a predominance of hemorrhagic strokes [13] [22]; other old studies reporting a high proportion of hemorrhagic strokes.…”

Section: Discussionmentioning

confidence: 62%

“…But for Longo-Menza [26], ischemic strokes are associated with higher mortality, whereas, according to Ong et al [19], the hematomas are associated with it.…”

Section: Discussionmentioning

confidence: 99%

Short Term (3 Months) Prognosis of Stroke in Parakou

Adoukonou¹,

Kossi²,

Agbétou³

et al. 2018

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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.

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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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Facteurs predictifs de mortalite par accident vasculaire cerebral (AVC) a la Clinique Neurologique du chu de Fann, Dakar - Senegal

Cited by 6 publications

References 0 publications

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

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

Short Term (3 Months) Prognosis of Stroke in Parakou

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

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