Incidence and pattern of stroke among patients admitted to medical ward at Yirgalem General Hospital, Sidama Regional State, Southern-Ethiopia (original) (raw)
Related papers
2021
Background: Stroke as a clinical syndrome typified by “rapidly developing clinical signs of focal or global disturbance of cerebral function, lasting more than 24 hours or leading to death, with no apparent cause apart that of vascular origin. Stroke is a major cause of death and disability in many countries. If left untreated, stroke is a debilitating disease that can lead to death. Objective: To ascertain the incidence and risk factors associated with stroke among patients who attended the medical ward of Mettu Karl Referral Hospital. Methods: A prospective observational study design was carried out from May 13/2021 to July 19/2021. Data was collected through employing well structured questioner, and then the collected data was cleared, coded and analyzed by statistical packages for social sciences 25.0 version statistical software. The relationship between risk factors and stroke subtypes were examined by logistic regression and chi-square test. Statistical significant was P valu...
2018
Background: Stroke is the abrupt onset of a neurologic deficit and attributable to a focal vascular cause. It is an alarming issue and the third leading cause of deaths globally. Stroke was considered as a disease of developed nations, but now it becomes a top priority public health problem to developing countries as a result of globalization, which results in life style change, and less attention to prevent non-communicable diseases. This study was aimed to assess the magnitude of stroke and associated factors among patients attended the medical department of Felege Hiwot Referral Hospital between September 2014 and September 2015.Methods: An institution based cross sectional study was conducted among 427 adult (≥30 years old) stroke patient records in June 2016. Data were extracted from the Internal Medicine Department patient registration logbook using data extraction guideline. SPSS version 20 was used to edit and analyze data. Descriptive statistics and logistic regression anal...
BMC Neurology
Background: Undoubtedly, stroke is expanding as a global public health issue. Stroke-related deaths are attributable to modifiable risk factors. A demographic shift in Ethiopia increased the prevalence of stroke risk factors. Furthermore, there is limited relevant information available about stroke. Therefore, the current study sought to evaluate the clinical profiles, comorbidities, and treatment outcomes of stroke in the medical ward of Dessie comprehensive specialized hospital. Methods: A retrospective cross-sectional study design was employed among stroke patients. The study included medical records with complete patient information and a stroke diagnosis that had been verified using imaging techniques. Using simple random sampling, 344 medical records were selected, 312 of which met the requirements for inclusion. The frequency and percentage of sociodemographic characteristics and other variables were described using descriptive statistics. Results: The patients were 59.2 ± 14...
The Egyptian Journal of Neurology, Psychiatry and Neurosurgery, 2020
Background: Stroke is one of the leading causes of death and disability in developing countries. The burden of stroke has varied widely in different areas, and there is a paucity of information about stroke in the selected study area. Objectives: To assess the burden, risk factors, and outcomes of stroke at Debre Markos Referral Hospital, Northwest Ethiopia Patients and methods: A hospital-based retrospective observational study was conducted in the medical ward of Debre Markos Referral Hospital from March 2017 to April 2019. A pretested checklist was used to extract relevant data from the chart of stroke patients. All statistical analyses were performed in the SPSS version 20 software. Results: From a total of 2100 admissions in the medical ward, 162 of them were stroke patients, giving the inhospital magnitude of 7.7%. The in-hospital case fatality rate was 8.6%. Additionally, 27.2% of patients were improved and 39.5% of them were referred. There was a significant association between types of stroke and risk factors such as sex, comorbid hypertension, hyperlipidemia, and atrial fibrillation (P ≤ 0.05). Conclusion: The in-hospital period prevalence of stroke was 7.7%. Ischemic stroke was the most common type of stroke. Hypertension and hyperlipidemia were the leading identified risk factors for stroke. The overall in-hospital mortality was lower than previous studies in sub-Saharan African countries. Therefore, effective strategies and guidelines for the prevention and control of stroke and its risk factors are needed.
BMC Neurology
Background: Stroke is the second-leading global cause of death behind heart disease in 2013 and is a major cause of permanent disability. The burden of stroke in terms of mortality, morbidity and disability is increasing across the world. It is currently observed to be one of the commonest reasons of admission in many health care setups and becoming an alarming serious public health problem in our country Ethiopia. Despite the high burden of strokes globally, there is insufficient information on the current clinical profile of stroke in low and middle income countries (LMICs) including Ethiopia. So, this study was aimed to assess risk factors, clinical presentations and predictors of stroke subtypes among adult patients admitted to stroke unit of Jimma university medical center (JUMC). Methods: Prospective observational study design was carried out at stroke unit (SU) of JUMC for 4 consecutive months from March 10-July 10, 2017. A standardized data extraction checklist and patient interview was used to collect data. Data was entered into Epi data version 3.1 and analyzed using SPSS version 20. Multivariable logistic regression was used to identify the predictors of stroke subtypes. Result: A total of 116 eligible stroke patients were recruited during the study period. The mean age of the patients was 55.1 ± 14.0 years and males comprised 62.9%. According to world health organization (WHO) criteria of stroke diagnosis, 51.7% of patients had ischemic while 48.3% had hemorrhagic stroke. The most common risk factor identified was hypertension (75.9%) followed by family history (33.6%), alcohol intake (22.4%), smoking (17.2%) and heart failure (17.2%). The most common clinical presentation was headache complained by 75.0% of the patients followed by aphasia 60.3% and hemiparesis 53.4%. Atrial fibrillation was the independent predictor of hemorrhagic stroke (AOR: 0.08, 95% CI: 0.01-0.68). Conclusion: The clinical characteristics of stroke in this set up were similar to other low-and middle-resource countries. As stroke is a high priority chronic disease, large-scale public health campaign should be launched focusing on public education regarding stroke risk factors and necessary interventions.
2022
Background: Stroke is undoubtedly becoming a worldwide public health problem. Stroke-related deaths are attributable to modi able risk factors. In Ethiopia, a demographic shift increased the prevalence of stroke risk factors. Besides, there is limited critical information regarding stroke. Therefore, this study aimed to carefully assess clinical presentations, possible risk factors, and outcomes of stroke in the medical ward of Dessie comprehensive specialized hospital. Methods: A retrospective cross-sectional study design was properly employed among stroke patients. Medical records appropriately containing complete patient information and con rmed diagnosis of stroke using imaging techniques were included in the study. The necessary data were attentively entered into SPSS version 24.0 for comprehensive analysis. Results with P-value < 0.05 were considered statistically signi cant. Results: Most (51.9%) of the study participants were female. The average age of the patients was 59.2 ± 14.6 years. Many 163 (52.2%) of stroke patients lost sensation and developed weakness in their body parts. One hundred forty (44.9%) patients presented with hemiplegia/hemiparesis and 79 (25.3%) patients were unconscious. Hypertension 197 (63.1%), atrial brillation 47 (15.1%), chat chewing 46 (14.7%), and structural heart diseases 39 (12.5%) were the most traditional risk factors for stroke. The mortality rate of stroke was 21.8%, where 67 compliant patients conveniently died. Having a previous history of stroke, atrial brillation, and structural heart diseases was a predictor of risk factors for stroke-related mortality. Conclusion: Elders are more affected by stroke. Hypertension, atrial brillation, structural heart diseases, and family history of stroke are recognized risk factors for stroke. There is a high rate of stroke mortality in the hospital. Thus, establishing promotive, preventive, curative, and rehabilitative strategies are indispensable.
Journal of Neurology & Neurophysiology, 2017
Background: Stroke is becoming a significant cause of morbidity and mortality in low and middle income countries. Currently, there is limited data about stroke in Ethiopia to design a strategy to combat the disease. Objective: To assess the overall prevalence, potential risk factors and outcome of stroke admissions at St. Paul's Teaching Referral Hospital. Patients and methods: A hospital based retrospective study was conducted at St. Paul's Teaching Referral Hospital in April 2016. The study has focused on review of medical records of all stroke admissions to the hospital from September 1st, 2015 to August 30th, 2016. Socio-demographic information, risk factors, and treatment outcomes of patients were assessed and data were entered and analyzed using Statistical Programs for Social Sciences 23.0. Descriptive analysis and Chi-square tests were used to assess the association between sociodemographic variables, potential risk factors and treatment outcomes of patients with stroke. P-value<0.05 was considered significant. Results: A total of 163 stroke patients with a median age of 68 years and M:F ratios of 1.3:1 were analyzed. Hemorrhagic stroke was the most common type of stroke accounting for 61.3% of cases. The most commonly identified risk factors were; Hypertension (60.7%), structural heart disease (18.4%), atrial fibrillation (14.7%) and diabetes mellitus (11%). In hospital case fatality rate was 30.1% and a significant number (45.4%) of patients was discharged with neurologic deficit and the median duration of hospital stay was 11.14 days. Conclusion: In this study, hemorrhagic stroke was the most common type of stroke. Gender, stroke subtype, previous history of stroke and transient ischemic attack were the main determinants of treatment outcome.
Risk Factors, Clinical Pattern and Outcome of Stroke in a Referral Hospital, Northwest Ethiopia
Stroke is one of the commonest causes of morbidity and mortality among non-communicable diseases. Its occurrence has been significantly increasing in Sub Saharan Africa in the last couple of decades. Mortality has been shown to be higher in this area compared to developed countries. Yet, there is a big information gap about stroke in Ethiopia. This study aimed at describing the clinical pattern, risk factors and outcome of adult stroke patients admitted to university of Gondar hospital. Retrospective chart record analysis of adult patients with stroke who had Computerized tomography(CT) scan of the brain admitted to University of Gondar hospital medical wards from June 2010 to May 2013 was done. Relevant data including sociodemographics, risk factors, type of stroke and outcome were collected using a data extraction form. Data was entered and analyzed using Epi info7. Results: A total of 98 patients with a median age of 68 years (IQR: 60-76) and F:M ratio of 1.13:1 were analyzed. Ischemic stroke accounted for 69.4% of the cases. The median ages of patients with hemorrhagic and ischemic stroke were 60 and 70 years respectively (P=0.0027). Hypertension (55.9%), any type of structural heart disease (44.6%) and atrial fibrillation (28.7%) were the most commonly identified risk factors. Atrial fibrillation was more prevalent in ischemic stroke patients (34.3%) compared to hemorrhagic stroke (14.8%) (P= 0.049). In hospital mortality rate was 13% with median duration of hospital stay before death of 6 days. Respiratory failure secondary to aspiration pneumonia and increased intracranial pressure were the most common immediate causes of death. Conclusion: Even though ischemic stroke was the most common stroke subtype, the proportion of hemorrhagic stroke was higher compared to studies from the developed world. Appropriate screening and treatment of hypertension, structural heart disease and atrial fibrillation should be give due attention as they are the most commonly identified risk factors. Most deaths occurred early after admission due to stroke related acute complications with respiratory failure; as such an emergency stroke care unit capable of managing these complications can partially decrease the death rate. Keywords: Cerebrovascular Accident,
BMJ Open, 2020
ObjectivesThis study aimed to assess the clinical pattern and predictors of stroke treatment outcomes among hospitalised patients in Felege Hiwot comprehensive specialised hospital (FHCSH) in northwest Ethiopia.DesignA retrospective cross-sectional study.SettingThe study was conducted medical ward of FHCSH.ParticipantsThe medical records of 597 adult patients who had a stroke were included in the study. All adult (≥18 years) patients who had a stroke had been admitted to the medical ward of FHSCH during 2015–2019 were included in the study. However, patients with incomplete medical records (ie, incomplete treatment regimen and the status of the patients after treatment) were excluded in the study.ResultsIn the present study, 317 (53.1%) were males, and the mean age of the study participants was 61.08±13.76 years. About two-thirds of patients (392, 65.7%) were diagnosed with ischaemic stroke. Regarding clinical pattern, about 203 (34.0%) of patients complained of right-side body weak...
African Journal of Emergency Medicine, 2018
Introduction: The burden of stroke is increasing in many low-and middle-income countries. In Ethiopia, stroke has become a major cause of morbidity, long-term disability, and mortality. Time from stroke onset to hospital presentation is a critical factor in acute stroke care. This study aimed to describe risk factors for stroke and clinical presentation of patients presenting to the emergency centre with stroke. Methods: We conducted a cross sectional study conducted from August 2015 to January 2016 in an urban tertiary care centre in Addis Ababa, Ethiopia. Descriptive statistics and multivariable logistic regression models were used to evaluate associations between stroke types and stroke risk factors, and delayed presentation and clinical indicators. P-values less than .05 were considered statistically significant. Results: A total of 104 patients were included. The mean age was 53 years, and 56% were male. Only 30% of patients arrived using an ambulance service. The most common presenting symptoms were altered mental status (48%), hemiparesis (47%), facial palsy (45%), hemiplegia (29%), and aphasia (25%). Hypertension was the most common risk factor (49%), followed by cardiovascular disease (20.2%) and diabetes mellitus (11%). The majority of strokes were haemorrhagic in aetiology (56%). The median arrival time to the emergency centre was 24 h after symptoms onset; only 15% presented within three hours. Patients with hypertension, or presented with loss of consciousness were significantly more likely to have haemorrhagic stroke (p < .001 and p = .01 respectively). The only risk factor robustly associated with ischaemic stroke was cardiac illness (odds ratio 3.99, p = .01). Discussion: Our study identified hypertension to be the most common risk factor for stroke. The predominant aetiology type in this cohort is haemorrhagic stroke. Lastly, the median arrival time to an emergency centre was 24 h after symptom onset. African relevance • Non-communicable diseases are rapidly rising in Africa. • Current stroke management is perceived to be poor, especially in resource-limited settings. • Different risk factors apply to an African population in the development of a stroke. • Time to care is very important to save brain tissue but there are unique challenges in resource-limited settings.