Pronostic fonctionnel des accidents vasculaires cérébraux dans les pays en voie de développement : Sénégal

Diouf, Fatou; Am, Basse; Ak, Ndao; Touré, Kamadore; Thiam, Alioune Badara; Ndiaye, M.; Diop, Amadou Gallo; Ip, Ndiaye

doi:10.1016/j.annrmp.2005.11.006

Cited by 31 publications

(15 citation statements)

References 10 publications

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“…This finding is similar to what was reported in Parakou in Benin [32]. Note that at Dakar, Senegal, in a monthly tracking study over twelve months with the Barthel's Index [33], the authors had more than half of the patients (58.3%) become self-sufficient [34]. Barthel's index was used to assess functional abilities, while Rankin assessed disability after a stroke.…”

Section: Functional Disability Assessed At One Monthsupporting

confidence: 82%

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: Functional Disability Assessed At One Monthsupporting

confidence: 82%

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

M'Belesso

Yangatimbi²,

Senekian

2018

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“…This and other socio-demographic factors may have an influence on why female stroke patients have a worse prognosis in Malawi, and other developing countries [2]. Differences in in-hospital, and 1-year mortality compared to the previous study from Malawi [4] and the studies from Gambia and Senegal may possibly reflect different recruitment criteria leading to differences in the baseline characteristics of the subjects, different patterns of co-morbidity, and possibly differences in post-stroke care [2], [3].…”

Section: Discussionmentioning

confidence: 99%

“…One-year case-fatality of stroke in the Gambia and Senegal was 62% and 50% respectively. In the Gambia hospital mortality following a stroke was 41% [2], [3]. Both of these countries have a relatively low HIV-1 prevalence.…”

Section: Introductionmentioning

confidence: 99%

Stroke Outcomes in Malawi, a Country with High Prevalence of HIV: A Prospective Follow-Up Study

Heikinheimo

Chimbayo²,

Kumwenda³

et al. 2012

PLoS ONE

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BackgroundStroke contributes significantly to disability and mortality in developing countries yet little is known about the determinants of stroke outcomes in such countries. 12% of Malawian adults have HIV/AIDS. It is not known whether having HIV-infection alters the outcome of stroke. The aim of this study was to document the functional outcome and mortality at 1 year of first-ever acute stroke in Malawi. Also to find out if the baseline variables, including HIV-infection, affect the outcome of stroke.Methods and Findings147 adult patients with first-ever acute stroke were prospectively followed up for 12 months. Conventional risk factors and HIV-infection were assessed at baseline. Stroke severity was evaluated with modified National Institute of Health Stroke Scale (mNIHSS) and functional outcome with modified Rankin scale (mRS). Fifty (34%) of patients were HIV-seropositive. 53.4% of patients had a poor outcome (severe disability or death, mRS 4–6) at 1 year. Poor outcome was related to stroke severity and female gender but not to presence of HIV-infection. HIV-seropositive patients were younger and had less often common risk factors for stroke. They suffer more often ischemic stroke than HIV-seronegative patients.ConclusionsMild stroke and male gender were associated with favourable outcome. HIV-infection is common in stroke patients in Malawi but does not worsen the outcome of stroke. However, it may be a risk factor for ischemic stroke for young people, who do not have the common stroke risk factors. Our results are significant, because stroke outcome in HIV-seropositive patients has not been studied before in a setting such as ours, with very limited resources and a high prevalence of HIV.

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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%

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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Pronostic fonctionnel des accidents vasculaires cérébraux dans les pays en voie de développement : Sénégal

Cited by 31 publications

References 10 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)

Stroke Outcomes in Malawi, a Country with High Prevalence of HIV: A Prospective Follow-Up Study

Short Term (3 Months) Prognosis of Stroke in Parakou

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