Stroke in young Nigerian adults

Onwuchekwa, Arthur; Onwuchekwa, RC; Asekomeh, E.G.

doi:10.1016/j.jvn.2009.08.001

Cited by 33 publications

(32 citation statements)

References 23 publications

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“…5 that the influence of rural-urban factors, urbanisation and adoption of western lifestyles particularly among relatively younger population plays an important role [4], [9], [11], [15], and [13]. Research evidence also found that younger patients have higher chance of surviving the acute phase of stroke with residual disability and much better outcomes than older patients leading to increased survivor rates [15].…”

Section: Accepted M Manuscriptmentioning

confidence: 98%

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Stroke survivors in Nigeria: A door-to-door prevalence survey from the Niger Delta region

Ezejimofor

Uthman

Maduka

et al. 2017

Journal of the Neurological Sciences

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The burden of stroke has been projected to increase in low-and middle-income countries due to the ongoing epidemiological transition. However, community-based stroke prevalence studies are sparse in sub-Saharan Africa particularly in Nigeria. This study aimed to provide a comparative estimate of the prevalence of stroke survivors in the rural Niger Delta region. A three-phased door-to-door survey was conducted using WHO modified instruments. In the first-phase, 2028 adults (≥18 years) participants randomly selected from two rural communities were screened by trained health research assistants for probable stroke. In the second phase, suspected cases were screened with stroke-specific tool. Positive cases were made to undergo complete neurological evaluation by two study neurologist in phase-three.Stroke diagnosis was based on clinical evaluation using WHO criteria. Overall, 27 (8 firstever and 19 recurrent cases) stroke survivors with crude prevalence of 13.31/1000 (95% CI, 8.32-18.31) and a non-significant difference in prevalence between the two study communities were found, (P= 0.393I). In addition, age-adjusted prevalence of stroke survivors was 14.6/1000 person, about 7-folds higher than previous estimates outside the Niger Delta region. The prevalence increases significantly with advancing in age, P<0·001.Among others, hypertension (92.59%) was the commonest risk factor and comorbidity found.Improved stroke surveillance and care, as well as better management of the underlying risk factors, primarily undetected or uncontrolled high blood pressure, remains a public health priority.

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Section: Accepted M Manuscriptmentioning

confidence: 98%

“…Research evidence also found that younger patients have higher chance of surviving the acute phase of stroke with residual disability and much better outcomes than older patients leading to increased survivor rates [15].…”

Section: Accepted M Manuscriptmentioning

confidence: 99%

Stroke survivors in Nigeria: A door-to-door prevalence survey from the Niger Delta region

Ezejimofor

Uthman

Maduka

et al. 2017

Journal of the Neurological Sciences

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“…We believe that male predominance is due to a higher prevalence of FDRs such as alcohol and tobacco in men as in women, but also to the fact that women are protected by maternity before menopause. On the other hand, a female predominance was noted in Onwuchekwa et al [10] in Nigeria who reported a sex-ratio of 0.93. According to them, this female predominance is due to bias selection.…”

Section: Epidemiological Datamentioning

confidence: 89%

Medical Direct Cost of Hospital Admission for Cerebrovascular Accident on Medical Recovery at the Sylvanus Olympio Teaching Hospital of Lomé

Balaka¹,

Tchamdja²,

Djagadou³

et al. 2017

OJIM

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Objectives: Appreciate the Medical direct cost for cerebrovascular accident on medical recovery at the Sylvanus Olympio Teaching Hospital of Lomé. Patients and method: This was a prospective and cross study that took place from 01 st October 2015 to 31st July 2016 in the medical recovery Unit of Sylvanus Olympio Teaching Hospital of Lomé. Results: Of the 91 stroke patients surveyed, the average age was 55.1 years; the sex-ratio (Men/women) was 1.3 and only 8.8% of patients had benefited from INAM (National Institute of Health Insurance) granting of benefits. The proportion of ICVA was 73.6% compared to 26.4% for the MCVA. The average overall cost of granting benefits of a CVA patient was 312,245 FCFA for an average stay of 18.6 days. This cost was 399.115 FCFA in MCVA for an average stay of 19.0 days against 281.130 FCFA in ICVA for an average stay of 16.1 days. Conclusion: CVAs on the one hand inflict losses of national productivity by its handicap, and a heavy economic burden for both patients and their families on the other hand, by its high cost of granting of benefits; Hence there is the need for assistance of all kinds by national and international health actors.

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“…[9][10][11] The reported case concerns a young man who had no other risk factors for cerebrovascular accidents such as diabetes, hypertension, hyperlipidemia, sickle cell disease, diabetes, cerebrovascular malformation, vasculitis caused by collagen disease, and coagulation abnormalities. 3,9,12 …”

Section: Discussionmentioning

confidence: 99%

“…These drugs, especially cocaine and amphetamines, predispose even young, healthy people to ischemic or hemorrhagic stroke. [1][2][3] Methamphetamine (meth), the most potent synthetic form of amphetamines, is the most commonly abused form. Meth is metabolized through the liver and has an active metabolite which is a potent hallucinogen.…”

mentioning

confidence: 99%

Concurrent Myocardial and Cerebral Infarctions After Crystal Methamphetamine Use

Azarpira

Pourjafar

Delavar-Kasmai

2015

Neurosurgery Quarterly

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Stroke in young Nigerian adults

Cited by 33 publications

References 23 publications

Stroke survivors in Nigeria: A door-to-door prevalence survey from the Niger Delta region

Stroke survivors in Nigeria: A door-to-door prevalence survey from the Niger Delta region

Medical Direct Cost of Hospital Admission for Cerebrovascular Accident on Medical Recovery at the Sylvanus Olympio Teaching Hospital of Lomé

Concurrent Myocardial and Cerebral Infarctions After Crystal Methamphetamine Use

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Stroke in young Nigerian adults

Cited by 33 publications

References 23 publications

Stroke survivors in Nigeria: A door-to-door prevalence survey from the Niger Delta region

Stroke survivors in Nigeria: A door-to-door prevalence survey from the Niger Delta region

Medical Direct Cost of Hospital Admission for Cerebrovascular Accident on Medical Recovery at the Sylvanus Olympio Teaching Hospital of Lom&#233;

Concurrent Myocardial and Cerebral Infarctions After Crystal Methamphetamine Use

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Medical Direct Cost of Hospital Admission for Cerebrovascular Accident on Medical Recovery at the Sylvanus Olympio Teaching Hospital of Lomé