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
Volume 3, Issue 5-1, October 2015, Pages: 14-21
Received: Jun. 11, 2015; Accepted: Jun. 24, 2015; Published: Jul. 8, 2015
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Authors
Aka-Anghui Diarra Evelyne, Faculty of Medical Sciences, Department of Neurology, University Hospital of Cocody, Félix Houphouët Boigny University, Abidjan, Ivory Coast
Zakaria Mamadou, Faculty of Medical Sciences, Department of Neurology, University Hospital of Cocody, Félix Houphouët Boigny University, Abidjan, Ivory Coast
Mourtada Wardatou Dine, Faculty of Medical Sciences, Department of Infectious and Tropical Diseases, University Hospital of Treichville, Félix Houphouët Boigny University, Abidjan, Ivory Coast
Kouassi Kouamé Léonard, Faculty of Medical Sciences, Department of Neurology, University Hospital of Yopougon, Félix Houphouët Boigny University, Abidjan, Ivory Coast
Yapo Ehounoud C., Faculty of Medical Sciences, Department of Neurology, University Hospital of Cocody, Félix Houphouët Boigny University, Abidjan, Ivory Coast
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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.
Keywords
Stroke, CT, Cardiovascular Risk Factors, Etiologies, Death
To cite this article
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), American Journal of Psychiatry and Neuroscience. Special Issue: Clinical Neurosciences in Tropical Practice . Vol. 3, No. 5-1, 2015, pp. 14-21. doi: 10.11648/j.ajpn.s.2015030501.14
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