Le profil épidémiologique des accidents vasculaires cérébraux ischémiques pris en charge au CHU de Fès, Maroc, 2009

Rhissassi, M.; Amazian, K.; Chtaou, Naïma; Zaama, A.; Messouaka, O.; Belahsen, Mohammed Faouzi

doi:10.1016/j.respe.2010.06.048

Cited by 5 publications

(4 citation statements)

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“…A ratio of 1 has been reported only in ( n = 3) studies [23, 40, 41]. Similarly, a slight female predominance with a ratio between 0.7 and 0.9 was reported in ( n = 9) studies [13, 20, 21, 25, 28, 30, 32–34].…”

Section: Resultsmentioning

confidence: 95%

“…Since the notion of time is crucial in the management of cerebral ischemia, ( n = 5) studies evaluated the prehospital delay, which consists of the time extending between the time of the symptoms onset and the patient arrival to the emergency department of the different hospital structures [26, 28, 32–34]. In this perspective, a minimum prehospital average delay was 26 h [Extremes: 15 Minutes- 8 months] according to the study by Azdad (2012) [33] and a maximum mean prehospital delay 61.9 h [Extreme: 0.5 h-216 h] which was listed in the Yonmadji (2016) study [32].…”

Section: Resultsmentioning

confidence: 99%

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Ischemic stroke in Morocco: a systematic review

et al. 2019

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BackgroundThe aim of this systematic review is to determine the epidemiological and etiological profiles, the influential factors of the prehospital delay, thrombolysis management, the acute and 3-month mortality rate and the genetic aspect of ischemic stroke in Morocco.MethodsThe present work is a systematic review that was conducted according to the recommendations of the “Preferred reporting items for systematic reviews and meta-analysis”. We used Pubmed, Sciencedirect, Scopus, Clinicalkey, and Google scholar databases for the raking of the gray literature during the time frame 2009 and 2018. The protocol of the review was registered in the PROSPERO register (CRD42018115206).These studies were analyzed based on: Age, sex ratio, risk factors, etiological profile according to Trial of ORG classification 10,172 in Acute Stroke Treatment, prehospital delay average and its influential factors, thrombolyzed patients’ proportion, acute and 3-month mortality and the genetic factors of ischemic stroke in Morocco.ResultsTwenty-nine (n = 29) studies were selected. The average age ranged from 49 ± 15.2 to 67.3 ± 9.9 years old. Moreover, we reported male predominance within all ages in 13 studies. High blood pressure, diabetes, smoking and heart disease were the four identified main risk factors by the prementioned studies. Atherosclerosis and cardioembolic were the main described etiologies of cerebral ischemia, and the average prehospital time ranged from 26 to 61.9 h. The proportion of thrombolysed patients ranged from 1.8% to 2.9%, the mortality rate varied in the acute phase from 3 to 13%, and the 3-month mortality ranged from 4.3 to 32.5%. It is also important to highlight that most of these studies, which were conducted in hospital environment, have a reduced sample size and no confidence interval.ConclusionsIschemic stroke is affecting more likely the young population with male predominance. Moreover, the long prehospital delay and the low proportion of thrombolysed patients are alarming. This indicates the need to investigate in depth the key factors influencing the access to care for Moroccan patients in order to improve the management of this neurologic deficit in Morocco.

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Section: Resultsmentioning

confidence: 95%

Section: Resultsmentioning

confidence: 99%

Ischemic stroke in Morocco: a systematic review

et al. 2019

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Section: Prehospital Delay In Patients With Ischemic Stroke In Moroccomentioning

confidence: 99%

“…In addition, two studies by Yonmadji (2016) and Daouda et al (2018) revealed two medium proportions of thrombolysed patients of 1.94% and 2.8% respectively[24,35].Six studies have reported the mortality rates in the acute phase, ranging from 3% in the Yonmadji (2016) study to 13% for the Chraa (2010) study. In addition, four studies by Saraya(2013), Rhissassi et al (2010), Chtaou (2016) and Azdad (2012) have revealed intermediate values of 5.8%, 9.9%, 10%and 10.8% respectively[15,23,31,32,35,36].…”

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confidence: 99%

Ischemic stroke in Morocco: A systematic review

Kharbach

Obtel

Lahlou

et al. 2019

Preprint

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Background: The aim of this systematic review is to determine; the epidemiological and etiological profiles, the influential factors of the prehospital delay, thrombolysis management, the acute and 3-month mortality rate and the genetic aspect of ischemic stroke in Morocco.Methods: The present work is a systematic review that was conducted according to the recommendations of the "Preferred reporting items for systematic reviews and meta-analysis". We used Pubmed, Sciencedirect, Scopus, Clinicalkey, and Google scholar databases for the raking of the gray literature during the period between 2009 and 2018. The protocol of the review was registered in the PROSPERO register (CRD42018115206). These studies were analyzed based on: Age, sex ratio, risk factors, etiological profile according to Trial of ORG classification 10172 in Acute Stroke Treatment, prehospital delay average and it’s influential factors, thrombolyzed patients proportion, acute and 3-month mortality and the genetic factors of ischemic stroke in Morocco. Results: Twenty-nine (n = 29) studies were selected. The average age ranged from 49±15.2 to 67.3 ± 9.9 years old. Moreover, we reported male predominance within all ages in 13 studies. High blood pressure, diabetes, smoking and heart disease were the four identified main risk factors by these studies. Atherosclerosis and cardioembolic were the main described etiologies of cerebral ischemia, and the average prehospital time ranged from 26 to 61.9 hours. The proportion of thrombolysed patients ranged from 1.8% to 2.9%, the mortality rate varied in the acute phase from 3 to 13%, and the 3-month mortality ranged from 4.3 to 32.5%. It is also important to highlight that most of these studies have a reduced sample size, conducted in hospital environment, and no confidence interval was reported. Conclusions: Ischemic stroke is affecting more likely the young population with male predominance. Moreover, the long prehospital delay and the low proportion of thrombolysed patients are alarming. Indicating, thus, the need to investigate in depth the key factors influencing the access to care for Moroccan patients in order to improve the management of this neurologic deficit in Morocco. Key words: Ischemic stroke, Trial of ORG classification 10172 in Acute Stroke Treatment classification, prehospital delay, thrombolysis, Morocco.

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Les accidents vasculaires cérébraux ischémiques. Fréquence des étiologies cardiovasculaires documentées par un bilan cardiovasculaire approfondi. À propos de 110 cas

Bendriss

Khatouri

2012

Annales de Cardiologie et d'Angéiologie

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Le profil épidémiologique des accidents vasculaires cérébraux ischémiques pris en charge au CHU de Fès, Maroc, 2009

Cited by 5 publications

References 0 publications

Ischemic stroke in Morocco: a systematic review

Ischemic stroke in Morocco: a systematic review

Ischemic stroke in Morocco: A systematic review

Les accidents vasculaires cérébraux ischémiques. Fréquence des étiologies cardiovasculaires documentées par un bilan cardiovasculaire approfondi. À propos de 110 cas

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