Socioeconomic inequities in mortality and functional outcome after stroke in Zanzibar: A prospective cohort study

Jorgensen, Jutta M Adelin; Nielsen, Karoline Kragelund; Petersen, Jørgen Holm; Sadiq, Halima Saleh; Kelly, Zoe Frances; Walker, Richard; Christensen, Dirk L.

doi:10.1016/j.jstrokecerebrovasdis.2023.107081

Journal of Stroke and Cerebrovascular Diseases

2023

DOI: 10.1016/j.jstrokecerebrovasdis.2023.107081

|View full text |Cite

Socioeconomic inequities in mortality and functional outcome after stroke in Zanzibar: A prospective cohort study

Jutta M Adelin Jorgensen¹,

Karoline Kragelund Nielsen²,

Jørgen Holm Petersen³

et al.

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...

Citation Types

Supporting

Mentioning

Contrasting

Year Published

2023

2024

Publication Types

Select...

Article2

Relationship

Self Cite1

Independent1

Authors

Journals

Cited by 2 publications

(1 citation statement)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Patients in the register were upon informed consent regularly followed-up by telephone calls and in-person visits until 1 year after stroke onset to measure a range of clinical and patient-reported outcomes. Several publications using the register data have been published to date, 2,3 and more are in development. While the register was set up to allow maintenance after the end of the study period, this has not happened.…”

mentioning

confidence: 99%

Establishing Stroke Registers in Sub-Saharan Africa: Experiences From 2 Large Referral Hospitals in Tanzania

Jorgensen

Matuja

2023

Stroke

Self Cite

View full text Add to dashboard Cite

mentioning

confidence: 99%

Establishing Stroke Registers in Sub-Saharan Africa: Experiences From 2 Large Referral Hospitals in Tanzania

Jorgensen

Matuja

2023

Stroke

Self Cite

View full text Add to dashboard Cite

30-day in-hospital stroke case fatality and significant risk factors in sub-Saharan–Africa: A systematic review and meta-analysis

Ackah,

Ameyaw,

Appiah

et al. 2024

PLOS Glob Public Health

View full text Add to dashboard Cite

Existing studies investigating 30-day in-hospital stroke case fatality rates in sub-Saharan Africa have produced varying results, underscoring the significance of obtaining precise and reliable estimations for this indicator. Consequently, this study aimed to conduct a systematic review and update of the current scientific evidence regarding 30-day in-hospital stroke case fatality and associated risk factors in sub-Saharan Africa. Medline/PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), APA PsycNet (encompassing PsycINFO and PsychArticle), Google Scholar, and Africa Journal Online (AJOL) were systematically searched to identify potentially relevant articles. Two independent assessors extracted the data from the eligible studies using a pre-tested and standardized excel spreadsheet. Outcomes were 30-day in-hospital stroke case fatality and associated risk factors. Data was pooled using random effects model. Ninety-three (93) studies involving 42,057 participants were included. The overall stroke case fatality rate was 27% [25%-29%]. Subgroup analysis revealed 24% [21%-28%], 25% [21%-28%], 29% [25%-32%] and 31% [20%-43%] stroke case fatality rates in East Africa, Southern Africa, West Africa, and Central Africa respectively. Stroke severity, stroke type, untyped stroke, and post-stroke complications were identified as risk factors. The most prevalent risk factors were low (<8) Glasgow Coma Scale score, high (≥10) National Institute Health Stroke Scale score, aspiration pneumonia, hemorrhagic stroke, brain edema/intra-cranial pressure, hyperglycemia, untyped stroke (stroke diagnosis not confirmed by neuroimaging), recurrent stroke and fever. The findings indicate that one in every four in-hospital people with stroke in sub-Saharan Africa dies within 30 days of admission. Importantly, the identified risk factors are mostly modifiable and preventable, highlighting the need for context-driven health policies, clinical guidelines, and treatments targeting these factors.

show abstract

scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.

Contact Info

hi@scite.ai

10624 S. Eastern Ave., Ste. A-614

Henderson, NV 89052, USA

Blog Terms and Conditions API Terms Privacy Policy Contact Cookie Preferences Do Not Sell or Share My Personal Information

Made with 💙 for researchers

Part of the Research Solutions Family.

Socioeconomic inequities in mortality and functional outcome after stroke in Zanzibar: A prospective cohort study

Cited by 2 publications

References 23 publications

Establishing Stroke Registers in Sub-Saharan Africa: Experiences From 2 Large Referral Hospitals in Tanzania

Establishing Stroke Registers in Sub-Saharan Africa: Experiences From 2 Large Referral Hospitals in Tanzania

30-day in-hospital stroke case fatality and significant risk factors in sub-Saharan–Africa: A systematic review and meta-analysis

Contact Info

Product

Resources

About