Early mortality and functional outcome after acute stroke in Uganda: prospective study with 30 day follow-up
| Autor: | Joaniter I. Nankabirwa, Edward Ddumba, Jayne Byakika-Tusiime, Charles Ssendikadiwa, Jane Nakibuuka, Martha Sajatovic, James Kayima, Nelson Kalema, Elly Katabira, Anthony J. Furlan |
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| Rok vydání: | 2015 |
| Předmět: |
Pediatrics
medicine.medical_specialty Multivariate analysis Referral 03 medical and health sciences 0302 clinical medicine Medicine 030212 general & internal medicine Functional ability Lost to follow-up Function Prospective cohort study Stroke Acute stroke Outcome Multidisciplinary business.industry Research Unconsciousness medicine.disease 3. Good health Death medicine.symptom business 030217 neurology & neurosurgery |
| Zdroj: | SpringerPlus |
| ISSN: | 2193-1801 |
| Popis: | Identification of early outcomes post stroke and their predictors is important in stroke management strategies. We prospectively analysed 30-day outcomes (mortality and functional ability) after stroke and their predictors among patients admitted within 7 days post event to a national referral hospital in Uganda. This was a prospective study of acute stroke patients consecutively enrolled between February and July 2014. Social demographics, clinical, laboratory, imaging characteristics, outcomes (all through 30 days), time of death were assessed using standardised questionnaires. Multiple regression was used to analyse the independent influence of factors on outcomes. Of 127 patients, 88 (69.3 %) had ischemic stroke and 39 (30.7 %) had hemorrhagic stroke. Eight (6.3 %) died within 7 days, 34 (26.8 %) died within 30 days, with 2/3 of deaths occurring in hospital. Two were lost to follow up. Of 91 survivors, 49 (53.9 %) had satisfactory outcome, 42 (46.1 %) had poor functional outcome. At multivariate analysis, independent predictors of mortality at 30 days were unconsciousness (GCS |
| Databáze: | OpenAIRE |
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