Frequency &amp; factors associated with recurrent stroke in Ghana and Nigeria

Akpalu, Albert; Akinyemi, Joshua; Wahab, Kolawole; Komolafe, Morenikeji; Obiako, Reginald; Owolabi, Lukman; Osaigbovo, Godwin; Ogbole, Godwin; Adebayo, Philip; Akpa, Onoja; Fakunle, Adekunle; Balogun, Olayemi; Fawale, Bimbo; Akinyemi, Rufus; Owolabi, Mayowa; Ovbiagele, Bruce

doi:10.1016/j.jns.2022.120303

Cited by 8 publications

(15 citation statements)

References 32 publications

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“…Stroke mortality is reported in three studies ranging from 20.5% to 23%. 25 , 28 , 29 In general, mortality was higher for patients with recurrent stroke than those with incident strokes in these studies. Akpalu et al reported an in-patient mortality of 20.5% among those with recurrent strokes compared to 21.4% of those with first-time strokes.…”

Section: Stroke Mortality Among Stroke Recurrence Patientsmentioning

confidence: 62%

“…One study had a sample size of only 100, 27 two studies had between 200 and 300 study participants, 18 , 24 and the rest had more than 500 study participants. 25 , 28 …”

Section: Resultsmentioning

confidence: 99%

“…Other factors reported as independent factors for stroke recurrence were female sex and non-compliance with therapy after the first stroke, right-handedness, congestive heart disease, gout, facial palsy, dysarthria and 27 dyslipidemia; 25 , 29 however, one study noted no associations with medication adherence to various risk factors. 27 …”

Section: Risk Factors and Predictors For Stroke Recurrencementioning

confidence: 99%

“… 27–29 In a study from Burkina Faso by Dabilgou et al, forty-four patients were hospitalized due to recurrent stroke of which 13.9% were admitted for a second stroke, while 2.6% were admitted for a third stroke. 24 While in Ghana and Nigeria, 9.4% had recurrent strokes, 25 and in a community study in Tanzania, 1.99% had stroke recurrence. 18 …”

Section: The Reported Prevalence Of Stroke Recurrencementioning

confidence: 99%

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Stroke Recurrence Rate and Risk Factors Among Stroke Survivors in Sub-Saharan Africa: A Systematic Review

Mbalinda,

Kaddumukasa,

Najjuma

et al. 2024

NDT

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Purpose Evidence supporting secondary stroke in sub-Saharan Africa is scarce. This study describes the incidence of stroke recurrence and associated risk factors in sub-Saharan Africa. Methods and Materials Scientific databases were systematically searched from January 2000 to December 2022 for population-based observational studies, case-control or cohort studies of recurrent stroke involving adults aged 18 years and above in sub-Saharan Africa (SSA). We assessed the quality of the eligible studies using the Critical Appraisal Skills Program (CASP) checklist for observational studies. Results Six studies met the inclusion criteria and were included in this study. Stroke recurrence rates in SSA ranged from 9.4% to 25%. Majority of the studies were conducted from Western Africa and showed that stroke recurrence rates are high within sub-Saharan Africa ranging from 2% to 25%. The known stroke risk factors such as hypertension, chronic alcohol consumption, etc., remained the leading causes of stroke recurrence. The studies reported a higher mortality rate ranging from 20.5 −23% among those with recurrent strokes compared to primary strokes. Conclusion This systematic review is an update and summary of the available literature on stroke recurrence within sub-Saharan Africa. Further studies are warranted to assess the outcomes and burden of stroke recurrence in SSA.

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Section: Stroke Mortality Among Stroke Recurrence Patientsmentioning

confidence: 62%

“…One study had a sample size of only 100, 27 two studies had between 200 and 300 study participants, 18 , 24 and the rest had more than 500 study participants. 25 , 28 …”

Section: Resultsmentioning

confidence: 99%

Section: Risk Factors and Predictors For Stroke Recurrencementioning

confidence: 99%

Section: The Reported Prevalence Of Stroke Recurrencementioning

confidence: 99%

See 2 more Smart Citations

Stroke Recurrence Rate and Risk Factors Among Stroke Survivors in Sub-Saharan Africa: A Systematic Review

Mbalinda,

Kaddumukasa,

Najjuma

et al. 2024

NDT

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show abstract

“…Current data on the risk of recurrent stroke predominantly originate from hospital or administrative registry-based studies 7 , 8 , 9 , 10 , 11 , 12 with five-year risk estimates ranging from 9.0% 8 to 12.6%. 7 These offer valuable insights into the short-term risk of recurrent stroke during the period when patients are still under neurovascular specialists’ care, ensuring optimal adherence to secondary prevention protocols.…”

Section: Introductionmentioning

confidence: 99%