Survival Time of Adult Ischemic Stroke Patients and Associated Risk Factors: A Retrospective Cohort Study at Felege Hiwot Referral Hospital

Kassie, Abay; Ayalew, Salie; Abere, Mandefro

doi:10.21276/ajmr.2019.8.4.me5

Cited by 5 publications

(7 citation statements)

References 15 publications

(16 reference statements)

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“…During the follow-up period, 56 (15.2%) of stroke patients died, according to this study. This finding is consistent with a 15.7% survival rate in Finland, 39 a 37-month FHCSH survival rate after 36 months of follow-up, 39 thirty-seven month survival rate FHCSH after thirty-six follow-up, 37 and a month-long analysis and systematic review study in the United Kingdom. 40,41 But the survival rate of twelve months in this study is higher than the result reported (79.2%) in Lithuania, 42 59.3% in Kenya.…”

Section: Discussionsupporting

confidence: 87%

Section: Methodsmentioning

confidence: 99%

“…Censored: time to event is not observed for reasons such as termination of study before all recruited subjects have shown the event or the subject has left the study prior to experiencing an event. 37 Nursing management: is a treatment or care based on clinical judgment and knowledge, the nurse performs to improve patient survival status 38 such as medication administration, positioning, nasogastric tube feeding, catheterization, input output measurement, fluid replacement, health education, blood sugar level measurement.…”

Section: Operational Definitionmentioning

confidence: 99%

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The Survival Status and Predictors of Mortality Among Stroke Patients at North West Ethiopia

Walelgn¹,

Abyu²,

Seyoum³

et al. 2021

RMHP

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Introduction: Stroke is one of the commonest non-communicable disease types that has a great public health impact both in developed and developing countries. However, in Ethiopia, the long-term survival status of stroke patients is not very understood. This study aimed at assessing survival status and predictors of mortality among stroke patients at Felege Hiwot comprehensive specialized hospital from September 1, 2014, to August 31, 2019, Bahirdar, North West Ethiopia. Methods: An institutional-based retrospective cohort study was conducted using 368 registered stroke patients between September 1, 2014, and August 31, 2019. We used Kaplan-Meier together with a Log-rank test to compare the survival rate of the study participants using categorical variables and to compare covariate and both bi-variable and multivariable Cox proportional hazards regression analysis model was conducted to identify predictors of mortality among stroke patients. The association between outcome and independent variables was expressed using an adjusted hazard ratio (AHR) with a 95% confidence interval and statistical significances were declared at P-value of <0.05. Results: Fifty-six (15.2%) of the 368 stroke patients included in the study died, and 312 (84.8%) were correctly censored. The overall survival rate was 72.2% at 51 months of follow-up with a median survival time of 0.26 months. Age greater than 65 (AHR 6.31, 95% CI 1.75-22.74), body temperature >7.1 degree centigrade (AHR = 7.14, 95% CI: 2.76-18.5), potassium level below <2 mmol/l (AHR = 2, 95% CI: 1.9-23.53) and creatinine level >1.2 mg/dl (AHR = 7.85, 95% CI: 2.7-22.6) were predictive predictors of mortality. Conclusions: In the follow-up of 51 months, significant mortality occurred. Important predictive predictors of survival status were identified. Interventions should be focused on health education and awareness creation of the community for the early management of stroke.

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Section: Discussionsupporting

confidence: 87%

Section: Methodsmentioning

confidence: 99%

Section: Operational Definitionmentioning

confidence: 99%

See 1 more Smart Citation

The Survival Status and Predictors of Mortality Among Stroke Patients at North West Ethiopia

Walelgn¹,

Abyu²,

Seyoum³

et al. 2021

RMHP

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“…However, study carried out in Northwest Ethiopia found that age over 65years was independent predictor of death from stroke. 28 , 41 …”

Section: Discussionmentioning

confidence: 99%

Survival status and predictors of mortality among adult Stroke patients admitted to Jimma University Medical Center, South west Ethiopia: A retrospective Cohort study

Mosisa,

Gezehagn,

Kune

et al. 2023

VHRM

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Background Stroke is the leading cause of cardiovascular disease death in sub-Saharan Africa and the second leading cause of mortality worldwide. In 2016, 6.23% of all fatalities in Ethiopia were stroke-related. Objective To assess survival status and predictors of mortality among adult stroke patients admitted to Jimma University Medical Center from April 1/2017 to March 31/2022. Methods A retrospective cohort study was conducted on 480 adult stroke patients selected by simple random sampling from patients admitted to the Jimma University Medical Center Stroke Unit from April 1, 2017 to March 31, 2022. Data were extracted from May to June 2022 and entered Epi-data v.3.1 and analyzed by R v.4.2. The Kaplan-Meier curve with Log rank test was used to estimate survival time and to compare survival experience between categories of explanatory variables. The Cox regression model was computed to identify predictors of survival status in stroke patients. Then the 95% CI of the hazard ratio was set with corresponding p-value < 0.05 to declare statistical significance. Results During 4350 person-days of follow-up; 88 (18.33%) patients died; resulting in an incidence mortality of 20.23 per 1000 person-days, with a median survival time of 38 days. Glasgow coma score <8 on admission (AHR = 7.71; 95% CI: 3.78, 15.69), dyslipidemia (AHR = 3.96; 95% CI: 2.04, 7.69), aspiration pneumonia (AHR 2.30; 95% CI: 1.23–4.26), and increased intracranial pressure (AHR = 4.27; 95% CI: 2.33, 7.81), were the independent predictors of the time until death. Conclusion The incidence of stroke mortality was higher at the seven and fourteen days. Glasgow Coma Scale, increased intracranial pressure, dyslipidemia, and aspiration pneumonia were independent predictors of mortality.

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“…The study was conducted at Felege Hiwot Comprehensive Specialized Hospital (FHCSH) that is found in Amhara region, Bahir Dar city at a distance of 560 KM from Addis Ababa, the capital city of Ethiopia [ 35 ]. In the hospital total 500 formal beds, 11 wards, 39 clinical and non-clinical departments providing Diagnostic, curative and Rehabilitation service at outpatient and inpatient-based services and serving over 7 million people from the surrounding area.…”

Section: Methodsmentioning

confidence: 99%

Incidence of stroke and its predictors among hypertensive patients in Felege Hiwot comprehensive specialized hospital, Bahir Dar, Ethiopia, a retrospective follow-up study

Misgana,

Asemahagn,

Atnafu

et al. 2023

Eur J Med Res

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Background Globally, one in three adults has hypertension, a condition that causes 51% of all deaths from stroke. Stroke is becoming a major public health problem and the most common cause of morbidity and mortality among non-communicable diseases in the world and Ethiopia. Therefore, this study assesses the incidence of stroke and its predictors among hypertensive patients in Felege Hiwot Comprehensive Specialized Hospital, Bahir Dar, Ethiopia 2021. Methods A hospital-based retrospective follow-up study design was used, simple random sampling technique was used to select 583 hypertensive patients that had follow-up registration between January 2018 and December 30th, 2020. Data were entered into Epi-data version 3.1 and exported to STATA version 14. The adjusted hazard ratio for each predictor with a 95% confidence interval was calculated using the Cox proportional hazards regression model, and a P-value ≤ 0.05 was used to denote statistical significance. Results From 583 hypertensive patients 106(18.18%) [95% CI 15–20] were developed stroke. The overall incidence rate was 1 per 100 person-years (95% CI 0.79–1.19). Comorbidities (Adjusted hazard ratio(AHR): 1.88, 95% CI 1.0–3.5), stage two hypertension (AHR = 5.21, 95%CI 2.75–9.8), uncontrolled systolic blood pressure (AHR: 2, 95% CI 1.21–354), uncontrolled diastolic blood pressure (AHR:1.9, 95% CI 1.1–3.57), alcohol consumption (AHR = 2.04, 95%CI 1.2–3.49), age 45–65 (AHR = 10.25, 95%CI 7.47–11.1); and drug discontinuation (AHR = 2.05,95% CI 1.26–3.35) were independent predictors for the incidence of stroke among hypertensive patients. Conclusion The incidence of stroke among hypertensive patients was high and various modifiable and non-modifiable risk factors highly contributed to its incidence. This study recommends early screening of blood pressure, giving priority to comorbid patients and patients with advanced stage hypertension, and giving health education about behavioral risks and drug adherence.

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Survival Time of Adult Ischemic Stroke Patients and Associated Risk Factors: A Retrospective Cohort Study at Felege Hiwot Referral Hospital

Cited by 5 publications

References 15 publications

The Survival Status and Predictors of Mortality Among Stroke Patients at North West Ethiopia

The Survival Status and Predictors of Mortality Among Stroke Patients at North West Ethiopia

Survival status and predictors of mortality among adult Stroke patients admitted to Jimma University Medical Center, South west Ethiopia: A retrospective Cohort study

Incidence of stroke and its predictors among hypertensive patients in Felege Hiwot comprehensive specialized hospital, Bahir Dar, Ethiopia, a retrospective follow-up study

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