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

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

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), 2015. 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.
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    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

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    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

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    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

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  • @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}
    }
    

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  • 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  - 

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

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

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

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

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

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