Stroke Characteristics and Outcomes of Adult Patients in Northwest Ethiopia.

Autor:	Baye M; Department of Physiotherapy, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia., Hintze A; Health Equity Institute, San Francisco State University, San Francisco, CA, United States., Gordon-Murer C; Health Equity Institute, San Francisco State University, San Francisco, CA, United States.; Department of Kinesiology, San Francisco State University, San Francisco, CA, United States., Mariscal T; Health Equity Institute, San Francisco State University, San Francisco, CA, United States., Belay GJ; Department of Physiotherapy, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia., Gebremariam AA; Department of Internal Medicine, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia., Hughes CML; Health Equity Institute, San Francisco State University, San Francisco, CA, United States.; Department of Kinesiology, San Francisco State University, San Francisco, CA, United States.
Jazyk:	angličtina
Zdroj:	Frontiers in neurology [Front Neurol] 2020 May 19; Vol. 11, pp. 428. Date of Electronic Publication: 2020 May 19 (Print Publication: 2020).
DOI:	10.3389/fneur.2020.00428
Abstrakt:	Stroke is becoming one of the leading causes of adult disability and death in sub-Saharan African countries. The aim of the present study is to provide an up-to-date account of the clinical and demographic characteristics of patients with stroke admitted to the University of Gondar College of Medicine and Health Science Comprehensive Specialized Hospital (CMHS). A hospital based retrospective study design was used to analyze the medical records of all patients with stroke admitted to CMHS from June 20th 2012 and April 30th 2018. Data were cleaned and entered into SPSS for analysis. Among the 448 patients with stroke admitted to CMHS, 58.0% ( n = 260) of patients were female, and 42.0% ( n = 188) were male. In the present sample, 141 (31.5%) had an ischemic stroke confirmed by neuroimaging, 82 (18.3%) had a hemorrhagic stroke confirmed by neuroimaging, and 252 (50.2%) had a stroke with undetermined type. The mean age of stroke was 63.9 years (range = 18-100, SD : 15.1 years), with no differences observed between stroke subtypes. The most common symptoms that led to patients seeking medical intervention were hemiparesis (67.4%), communication difficulties (56.0%), facial deviation (37.3%), and globalized headache (36.4%). Hypertension was the most commonly reported risk factor (37.1%), which was more prevalent in hemorrhagic ( n = 37, 45.1%) than ischemic stroke patients ( n = 53, 37.6%), stroke with undetermined type ( n = 76, 33.8%). Stroke places a significant burden on sub-Saharan African countries. Results of the current study highlight the need to develop programs that educate the Ethiopian populace about the risk factors and symptoms of stroke, the importance of seeking medical care within the golden window, and the benefits of neuroimaging to accurately diagnose stroke subtype. In addition, the current study provides hospital administrators with empirical data that they can use to form an interdisciplinary stroke rehabilitation team capable of improving outcomes of Ethiopian patients with stroke. (Copyright © 2020 Baye, Hintze, Gordon-Murer, Mariscal, Belay, Gebremariam and Hughes.)
Databáze:	MEDLINE
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