Current Data on the Profile of Patients Hospitalized for Stroke in a Neurology Department in West Africa: Abidjan (Ivory Coast)

Aka-Anghui Diarra Evelyne; Zakaria Mamadou; Mourtada Wardatou Dine; Kouassi Kouamé Léonard; Yapo Ehounoud C.

doi:doi:10.11648/j.ajpn.s.2015030501.14

| Peer-Reviewed

Current Data on the Profile of Patients Hospitalized for Stroke in a Neurology Department in West Africa: Abidjan (Ivory Coast)

Aka-Anghui Diarra Evelyne, Zakaria Mamadou, Mourtada Wardatou Dine, Kouassi Kouamé Léonard, Yapo Ehounoud C.

Published in American Journal of Psychiatry and Neuroscience (Volume 3, Issue 5-1)

Received: 11 June 2015 Accepted: 24 June 2015 Published: 8 July 2015

Views: Downloads:

Download PDF

Share This Article

Twitter
Linked In
Facebook

Abstract

Background and purpose: With a hospital prevalence oscillating between 28% and 32% the strokes represent the first cause of hospitalization in our department [1] Stroke is emerging as a leading cause of preventable death and disability in adults in many developing nations. The general objective was to describe the profile of patients. Problem: The management of stroke is real public challenges under tropic regions. Methodology: We prospectively studied consecutive patients presenting to the neurology unit of Abidjan- Cocody, over a one year period (March 2012-February 2013). The socio-demographic, clinical data, the risk factors as well as the CT scan findings were collected in the patients registers. Results: The hospital prevalence of stroke was 28.3%. The average age was 58 years, and a quarter of patients had less than 50 years. A slight male predominance was noted with a sex ratio of 1.13. The average admission time was 6.7 days and the average period of hospitalization was 10 days. The main risk factor listed was hypertension (79.3%). The percentage of recurrent stroke was 21.6%. The main reasons for admission were: a motor deficit (100%) and headache (88.4%). Computed tomography has allowed the diagnosis of 59% of ischemic stroke especially the MCA territory and 41% of hemorrhagic strokes, mostly basal ganglia. The main causes were, for ischemic stroke, 47% of vascular causes, and hemorrhagic stroke, 74% of micro aneurysms associated with hypertension. Exploration difficulties were responsible for a significant percentage of undetermined causes. We recorded 24.1% of deaths. Conclusion: As in lot of developing African countries, the study suffers from strokes undetermined causes due to lack of financial means, and the failure of the technical platform.

Published in	American Journal of Psychiatry and Neuroscience (Volume 3, Issue 5-1) This article belongs to the Special Issue Clinical Neurosciences in Tropical Practice
DOI	10.11648/j.ajpn.s.2015030501.14
Page(s)	14-21
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Stroke, CT, Cardiovascular Risk Factors, Etiologies, Death

References

[1]	Aka- Anghui Diarra E, Kourouma MT, TANOH C. Distribution of neurological diseases: Experience of neurology department of University Hospital of Cocody. Journal of Neurology Neurosurgery Psychiatry 2015; 1: 16-24
[2]	Jaillard A, Besson G, Hommel M. Prevention of ischemic stroke. The review of the practitioner 1998; 10; 3176-81.
[3]	Mensah G A. Epidemiology of stroke and high blood pressure in Africa. Heart 2008; 94: 697-705
[4]	Garbusinski JM, Van Der Sande MA, Bartholome EJ et al. Presentation and outcome in developing countries: a prospective study in the Gambia. Stroke 2005; 36: 1388-1393.
[5]	Lemogoum D, Degaute JP, Bovet P. stroke prevention, treatment, and rehabilitation in sub Saharan Africa. Am J Prev Med 2005; 95-101.
[6]	Sagui F, M’Baye PS, Dubecq C et al. Ischemic and hemorrhagic stroke in Dakar, Senegal: a hospital based study. Stroke 2005; 36: 1844-1847.
[7]	Sene Diouf F, Basse AM, Touré K, et al. prognosis of stroke in department of neurology of Dakar. Dakar Med 2006; 51: 17-21.
[8]	Bonita R, Truelsen T : Stroke in sub-Saharan Africa: a neglected chronic disease
[9]	The lancet Neurology Vol 2 October 2003
[10]	Kouna NP, Millogo A, Siéméfo Kamgang FP, Assengon-Zeh Y. Epidemiological features and outcome of stroke at Libreville hospital (GABON) Ajns 2007 vol.26,N2
[11]	Duc M, Jacquier A. cerebral circulatory insufficiency. Encycl Méd. Chir, CP Neurologie, 4-4-09 1345-1363.
[12]	Ogun SA, Ojini FI, Ogungbo B et al. stroke in south west Nigeria: a 10 years review. Stroke 2005; 36: 1120-1122.
[13]	Dewar SR. Stroke outcome in the absence of a structure rehabilitation program. Sem Afri Med J 1990; 78: 200-202.
[14]	Hoffmann M, Berger JR, Nath A, Rayens M. Cerebrovascular disease in young, HIV infected, black Africans in the Kwazulu natal province of South Africa. J Neurovirol 2000; 6: 229-236
[15]	Cambier J, Masson M, Dehen H. abrégé de Neurologie. Masson ; 1989, 6eme édition : 367-415.
[16]	Kwasa Too, Lore W. stroke at kenyatta national hospital. East Afr Med J 1990; 67: 482-486.
[17]	Imam I. Stroke: a review with an African perspective. Ann Trop Med Parasitol 2002; 96: 435–45.
[18]	Balogou AAK, Belo M, Apetse K, Kombate D, Amouzouvi KD, Grunitzky EK. Stroke in patients 15 to 45 years in the neurology department of the University Hospital Lomé campus. Journal home 2006; vol 8, n2.

Cite This Article

Plain Text BibTeX RIS

APA Style

Aka-Anghui Diarra Evelyne, Zakaria Mamadou, Mourtada Wardatou Dine, Kouassi Kouamé Léonard, Yapo Ehounoud C. (2015). Current Data on the Profile of Patients Hospitalized for Stroke in a Neurology Department in West Africa: Abidjan (Ivory Coast). American Journal of Psychiatry and Neuroscience, 3(5-1), 14-21. https://doi.org/10.11648/j.ajpn.s.2015030501.14

Copy | Download

ACS Style

Aka-Anghui Diarra Evelyne; Zakaria Mamadou; Mourtada Wardatou Dine; Kouassi Kouamé Léonard; Yapo Ehounoud C. Current Data on the Profile of Patients Hospitalized for Stroke in a Neurology Department in West Africa: Abidjan (Ivory Coast). Am. J. Psychiatry Neurosci. 2015, 3(5-1), 14-21. doi: 10.11648/j.ajpn.s.2015030501.14

Copy | Download

AMA Style

Aka-Anghui Diarra Evelyne, Zakaria Mamadou, Mourtada Wardatou Dine, Kouassi Kouamé Léonard, Yapo Ehounoud C. Current Data on the Profile of Patients Hospitalized for Stroke in a Neurology Department in West Africa: Abidjan (Ivory Coast). Am J Psychiatry Neurosci. 2015;3(5-1):14-21. doi: 10.11648/j.ajpn.s.2015030501.14

Copy | Download

@article{10.11648/j.ajpn.s.2015030501.14,
  author = {Aka-Anghui Diarra Evelyne and Zakaria Mamadou and Mourtada Wardatou Dine and Kouassi Kouamé Léonard and Yapo Ehounoud C.},
  title = {Current Data on the Profile of Patients Hospitalized for Stroke in a Neurology Department in West Africa: Abidjan (Ivory Coast)},
  journal = {American Journal of Psychiatry and Neuroscience},
  volume = {3},
  number = {5-1},
  pages = {14-21},
  doi = {10.11648/j.ajpn.s.2015030501.14},
  url = {https://doi.org/10.11648/j.ajpn.s.2015030501.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajpn.s.2015030501.14},
  abstract = {Background and purpose: With a hospital prevalence oscillating between 28% and 32% the strokes represent the first cause of hospitalization in our department [1] Stroke is emerging as a leading cause of preventable death and disability in adults in many developing nations. The general objective was to describe the profile of patients. Problem: The management of stroke is real public challenges under tropic regions. Methodology: We prospectively studied consecutive patients presenting to the neurology unit of Abidjan- Cocody, over a one year period (March 2012-February 2013). The socio-demographic, clinical data, the risk factors as well as the CT scan findings were collected in the patients registers. Results: The hospital prevalence of stroke was 28.3%. The average age was 58 years, and a quarter of patients had less than 50 years. A slight male predominance was noted with a sex ratio of 1.13. The average admission time was 6.7 days and the average period of hospitalization was 10 days. The main risk factor listed was hypertension (79.3%). The percentage of recurrent stroke was 21.6%. The main reasons for admission were: a motor deficit (100%) and headache (88.4%). Computed tomography has allowed the diagnosis of 59% of ischemic stroke especially the MCA territory and 41% of hemorrhagic strokes, mostly basal ganglia. The main causes were, for ischemic stroke, 47% of vascular causes, and hemorrhagic stroke, 74% of micro aneurysms associated with hypertension. Exploration difficulties were responsible for a significant percentage of undetermined causes. We recorded 24.1% of deaths. Conclusion: As in lot of developing African countries, the study suffers from strokes undetermined causes due to lack of financial means, and the failure of the technical platform.},
 year = {2015}
}

Copy | Download

TY - JOUR
T1 - Current Data on the Profile of Patients Hospitalized for Stroke in a Neurology Department in West Africa: Abidjan (Ivory Coast)
AU - Aka-Anghui Diarra Evelyne
AU - Zakaria Mamadou
AU - Mourtada Wardatou Dine
AU - Kouassi Kouamé Léonard
AU - Yapo Ehounoud C.
Y1 - 2015/07/08
PY - 2015
N1 - https://doi.org/10.11648/j.ajpn.s.2015030501.14
DO - 10.11648/j.ajpn.s.2015030501.14
T2 - American Journal of Psychiatry and Neuroscience
JF - American Journal of Psychiatry and Neuroscience
JO - American Journal of Psychiatry and Neuroscience
SP - 14
EP - 21
PB - Science Publishing Group
SN - 2330-426X
UR - https://doi.org/10.11648/j.ajpn.s.2015030501.14
AB - Background and purpose: With a hospital prevalence oscillating between 28% and 32% the strokes represent the first cause of hospitalization in our department [1] Stroke is emerging as a leading cause of preventable death and disability in adults in many developing nations. The general objective was to describe the profile of patients. Problem: The management of stroke is real public challenges under tropic regions. Methodology: We prospectively studied consecutive patients presenting to the neurology unit of Abidjan- Cocody, over a one year period (March 2012-February 2013). The socio-demographic, clinical data, the risk factors as well as the CT scan findings were collected in the patients registers. Results: The hospital prevalence of stroke was 28.3%. The average age was 58 years, and a quarter of patients had less than 50 years. A slight male predominance was noted with a sex ratio of 1.13. The average admission time was 6.7 days and the average period of hospitalization was 10 days. The main risk factor listed was hypertension (79.3%). The percentage of recurrent stroke was 21.6%. The main reasons for admission were: a motor deficit (100%) and headache (88.4%). Computed tomography has allowed the diagnosis of 59% of ischemic stroke especially the MCA territory and 41% of hemorrhagic strokes, mostly basal ganglia. The main causes were, for ischemic stroke, 47% of vascular causes, and hemorrhagic stroke, 74% of micro aneurysms associated with hypertension. Exploration difficulties were responsible for a significant percentage of undetermined causes. We recorded 24.1% of deaths. Conclusion: As in lot of developing African countries, the study suffers from strokes undetermined causes due to lack of financial means, and the failure of the technical platform.
VL - 3
IS - 5-1
ER -

Copy | Download

Author Information

Aka-Anghui Diarra Evelyne

Faculty of Medical Sciences, Department of Neurology, University Hospital of Cocody, Félix Houphou?t Boigny University, Abidjan, Ivory Coast
Zakaria Mamadou

Faculty of Medical Sciences, Department of Neurology, University Hospital of Cocody, Félix Houphou?t Boigny University, Abidjan, Ivory Coast
Mourtada Wardatou Dine

Faculty of Medical Sciences, Department of Infectious and Tropical Diseases, University Hospital of Treichville, Félix Houphou?t Boigny University, Abidjan, Ivory Coast
Kouassi Kouamé Léonard

Faculty of Medical Sciences, Department of Neurology, University Hospital of Yopougon, Félix Houphou?t Boigny University, Abidjan, Ivory Coast
Yapo Ehounoud C.

Faculty of Medical Sciences, Department of Neurology, University Hospital of Cocody, Félix Houphou?t Boigny University, Abidjan, Ivory Coast

Download PDF

Sections

Plain Text BibTeX RIS

APA Style

Aka-Anghui Diarra Evelyne, Zakaria Mamadou, Mourtada Wardatou Dine, Kouassi Kouamé Léonard, Yapo Ehounoud C. (2015). Current Data on the Profile of Patients Hospitalized for Stroke in a Neurology Department in West Africa: Abidjan (Ivory Coast). American Journal of Psychiatry and Neuroscience, 3(5-1), 14-21. https://doi.org/10.11648/j.ajpn.s.2015030501.14

Copy | Download

ACS Style

Aka-Anghui Diarra Evelyne; Zakaria Mamadou; Mourtada Wardatou Dine; Kouassi Kouamé Léonard; Yapo Ehounoud C. Current Data on the Profile of Patients Hospitalized for Stroke in a Neurology Department in West Africa: Abidjan (Ivory Coast). Am. J. Psychiatry Neurosci. 2015, 3(5-1), 14-21. doi: 10.11648/j.ajpn.s.2015030501.14

Copy | Download

AMA Style

Aka-Anghui Diarra Evelyne, Zakaria Mamadou, Mourtada Wardatou Dine, Kouassi Kouamé Léonard, Yapo Ehounoud C. Current Data on the Profile of Patients Hospitalized for Stroke in a Neurology Department in West Africa: Abidjan (Ivory Coast). Am J Psychiatry Neurosci. 2015;3(5-1):14-21. doi: 10.11648/j.ajpn.s.2015030501.14

Copy | Download

@article{10.11648/j.ajpn.s.2015030501.14,
  author = {Aka-Anghui Diarra Evelyne and Zakaria Mamadou and Mourtada Wardatou Dine and Kouassi Kouamé Léonard and Yapo Ehounoud C.},
  title = {Current Data on the Profile of Patients Hospitalized for Stroke in a Neurology Department in West Africa: Abidjan (Ivory Coast)},
  journal = {American Journal of Psychiatry and Neuroscience},
  volume = {3},
  number = {5-1},
  pages = {14-21},
  doi = {10.11648/j.ajpn.s.2015030501.14},
  url = {https://doi.org/10.11648/j.ajpn.s.2015030501.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajpn.s.2015030501.14},
  abstract = {Background and purpose: With a hospital prevalence oscillating between 28% and 32% the strokes represent the first cause of hospitalization in our department [1] Stroke is emerging as a leading cause of preventable death and disability in adults in many developing nations. The general objective was to describe the profile of patients. Problem: The management of stroke is real public challenges under tropic regions. Methodology: We prospectively studied consecutive patients presenting to the neurology unit of Abidjan- Cocody, over a one year period (March 2012-February 2013). The socio-demographic, clinical data, the risk factors as well as the CT scan findings were collected in the patients registers. Results: The hospital prevalence of stroke was 28.3%. The average age was 58 years, and a quarter of patients had less than 50 years. A slight male predominance was noted with a sex ratio of 1.13. The average admission time was 6.7 days and the average period of hospitalization was 10 days. The main risk factor listed was hypertension (79.3%). The percentage of recurrent stroke was 21.6%. The main reasons for admission were: a motor deficit (100%) and headache (88.4%). Computed tomography has allowed the diagnosis of 59% of ischemic stroke especially the MCA territory and 41% of hemorrhagic strokes, mostly basal ganglia. The main causes were, for ischemic stroke, 47% of vascular causes, and hemorrhagic stroke, 74% of micro aneurysms associated with hypertension. Exploration difficulties were responsible for a significant percentage of undetermined causes. We recorded 24.1% of deaths. Conclusion: As in lot of developing African countries, the study suffers from strokes undetermined causes due to lack of financial means, and the failure of the technical platform.},
 year = {2015}
}

Copy | Download