L’AVC du sujet âgé : vers une prise en charge spécialisée à la phase aiguë et en SSR ?

Guilhermet, Y.; Valdelièvre, L.; Krolak‐Salmon, Pierre

doi:10.1007/s12612-010-0049-1

Cited by 9 publications

(2 citation statements)

References 25 publications

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“…This may be a problem of diagnosis and management in some health facilities. This lethality is comparable to other studies results such as those from Burkina Faso, Mozambique, and in France [ 7 , 16 , 17 , 23 ]. Indeed, a systematic review of the literature has shown that in hospital studies, case fatality is between 27 and 46% in Africa [ 5 ].…”

Section: Discussionsupporting

confidence: 91%

Prognostic Factors of the Lethality of Stroke at the Sourô Sanou University Teaching Hospital of Burkina Faso

Kpoda

Savadogo

Samadoulougou

et al. 2022

Cerebrovasc Dis Extra

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Introduction: Stroke is a major public health concern. It is a frequent pathology, 80% of which is of ischemic origin. Approximately 86% of all stroke deaths worldwide occur in low- and middle-income countries. The objective of this study was to investigate prognostic factors for in hospital lethality of stroke cases admitted in a public university hospital in Burkina Faso. Methods: This was a retrospective cohort study with a descriptive and analytical aim on adults admitted for a stroke confirmed by a brain scan at the Sourô Sanou University Teaching Hospital (CHUSS) of Bobo-Dioulasso over the period from January 1, 2009, to December 31, 2013. Results: The proportion of cases confirmed by the brain CT scan was 32% of all patients admitted for stroke in the CHUSS. The overall case fatality was 27.6%. This lethality was more pronounced in patients with hemorrhagic stroke (35.8%) compared to patients with ischemic stroke (22.4%). Median survival was higher in patients with ischemic stroke than those with hemorrhagic one (36 and 25 days, respectively) with a statistically significant difference (p value = 0.001). In multivariate analysis and hemorrhagic stroke (hazard ratio [HR]: 2.25; CI 95%: 1.41–3.61), an altered state of consciousness (HR: 1.90; CI 95%: 1.20–2.99) and the presence of central facial paralysis (HR: 1.67; CI 95%: 1.04–2.67) are factors that increased significantly the lethality. Conclusion: The study has identified three prognostic factors of lethality that are the hemorrhagic stroke type, the altered state of consciousness, and the central facial paralysis. Given the high case fatality, it is important to develop and implement effective prevention and management strategies adapted to the resources for the optimal control of stroke in Africa.

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Section: Discussionsupporting

confidence: 91%

Prognostic Factors of the Lethality of Stroke at the Sourô Sanou University Teaching Hospital of Burkina Faso

Kpoda

Savadogo

Samadoulougou

et al. 2022

Cerebrovasc Dis Extra

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“…As for hospital mortality (25%), it was higher than that found in Burkina Faso [9]. However, less important than that described in the literature [11]. This difference could be explained by the small size of our sample.…”

Section: Discussioncontrasting

confidence: 64%

Profile and Prognostic Factors of Stroke in Age Subjects in Bangui

Yangatimbi,

Lewis Grenaba,

Pierre Kinima

et al. 2023

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Introduction: The stroke is a real public health problem due to its frequency, its severity, its residual physical and cognitive handicap and its financial cost for society. Goal of the Study: To contribute to the knowledge of these conditions in neurological practice in the Central African Republic. Methodology: Analytical cross-sectional study which took place over a period of 4 months from June 1 to September 30, 2020, in subjects aged 55 and over hospitalized in the Neurology department of the Friendship Sino University Hospital. Central African woman for a stroke with a complete file. Results: During the study, 118 patients were hospitalized in the department, including 24 cases of stroke, for a hospital frequency of 20.33%. The average age was 67.1 years old and the male/female sex ratio was 1.6. Motor deficit and language disorder were the main reasons for consultation (100%). Hypertension was the main risk factor (91.7%). Stroke was the most predominant type of stroke (54.8%). Most of our patients (58.3%) were admitted to healthcare facilities before 6 a.m. The lethality was 25%. There was a statistically significant association between the severity of hypertension and the type of stroke as well as the patient's condition at discharge. The NIHSS score and the KARNOFSKY score were significantly related to the patient's condition at discharge. All the discharged patients presented with sequelae such as hemiparesis (75%) and dysarthria (45.8%). Conclusion: Stroke is a serious, disabling pathology that is increasingly common with the aging of the population. The creation of a neurovascular unit and a rehabilitation unit could improve the prognosis and course of stroke in our elderly patients.

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Accident vasculaire cérébral après la phase aiguë

Oquendo

2023

Gériatrie

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L’AVC du sujet âgé : vers une prise en charge spécialisée à la phase aiguë et en SSR ?

Cited by 9 publications

References 25 publications

Prognostic Factors of the Lethality of Stroke at the Sourô Sanou University Teaching Hospital of Burkina Faso

Prognostic Factors of the Lethality of Stroke at the Sourô Sanou University Teaching Hospital of Burkina Faso

Profile and Prognostic Factors of Stroke in Age Subjects in Bangui

Accident vasculaire cérébral après la phase aiguë

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