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Epidemiology, Risk Factors, Type and Outcome of Stroke in Health Care Facilities of Lomé, Togo: A Prospective Study

Received: 10 December 2014     Accepted: 23 December 2014     Published: 4 January 2015
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Abstract

Background: Stroke is the leading cause of permanent disability acquired in the world. Aim: To study the epidemiological indices, risk factors and outcome of stroke. Subjects and Methods: It was a prospective study to collect epidemiological data, clinical presentation and outcome of stroke patients in 28 public and private health facilities in our largest health region. It had covered the period from January to December 2013. Results: A total of 43,558 inpatients were enrolled. Among them, 986 patients had a stroke which frequency was 2.26 %. The incidence rate has been estimated to 79.58/ 100,000 inhabitants/year. Male subjects were observed in 50.8% and 49.2% of females. The mean age was 59 ± 13.2 years. Concerning the stroke subtype, ischemic stroke was found with 54.9% and 45.1% of hemorrhagic including 10.8 % of subarachnoid hemorrhage. The traditional main risk factors were hypertension (87.3 %) and diabetes (17.5 %). The mean time of admission was 55 ± 20.75 hours. The average time before beginning first care was 56 ± 20.74 hours. Only 44% of patients had received first aids within 24 hours. The average length of stay was 17 ± 8.5 days. The mean modified Rankin scale score at the exit time was 2.3 ± 0.8. At discharge, 58.9% of patient had partial motor deficits and 27.5% of them died. Conclusion: A good knowledge of risk factors and early signs of stroke by the population will reduce stroke mortality and its functional sequel. All these lacks of assessment increase the delay in the management of patient and lead to permanent deficits.

Published in Science Journal of Public Health (Volume 3, Issue 1)
DOI 10.11648/j.sjph.20150301.15
Page(s) 25-30
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

Care Facilities, Epidemiology, Municipality, Risk Factors, Stroke

References
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    Komi Assogba, Mofou Belo, Ekué A. Folly, Kossivi M. Apetsè, Damelan Kombaté, et al. (2015). Epidemiology, Risk Factors, Type and Outcome of Stroke in Health Care Facilities of Lomé, Togo: A Prospective Study. Science Journal of Public Health, 3(1), 25-30. https://doi.org/10.11648/j.sjph.20150301.15

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    ACS Style

    Komi Assogba; Mofou Belo; Ekué A. Folly; Kossivi M. Apetsè; Damelan Kombaté, et al. Epidemiology, Risk Factors, Type and Outcome of Stroke in Health Care Facilities of Lomé, Togo: A Prospective Study. Sci. J. Public Health 2015, 3(1), 25-30. doi: 10.11648/j.sjph.20150301.15

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    AMA Style

    Komi Assogba, Mofou Belo, Ekué A. Folly, Kossivi M. Apetsè, Damelan Kombaté, et al. Epidemiology, Risk Factors, Type and Outcome of Stroke in Health Care Facilities of Lomé, Togo: A Prospective Study. Sci J Public Health. 2015;3(1):25-30. doi: 10.11648/j.sjph.20150301.15

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  • @article{10.11648/j.sjph.20150301.15,
      author = {Komi Assogba and Mofou Belo and Ekué A. Folly and Kossivi M. Apetsè and Damelan Kombaté and Koumavi D. Ekouévi and Koffi A. A. Balogou and Eric K. Grunitzky},
      title = {Epidemiology, Risk Factors, Type and Outcome of Stroke in Health Care Facilities of Lomé, Togo: A Prospective Study},
      journal = {Science Journal of Public Health},
      volume = {3},
      number = {1},
      pages = {25-30},
      doi = {10.11648/j.sjph.20150301.15},
      url = {https://doi.org/10.11648/j.sjph.20150301.15},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.20150301.15},
      abstract = {Background: Stroke is the leading cause of permanent disability acquired in the world. Aim: To study the epidemiological indices, risk factors and outcome of stroke. Subjects and Methods: It was a prospective study to collect epidemiological data, clinical presentation and outcome of stroke patients in 28 public and private health facilities in our largest health region. It had covered the period from January to December 2013. Results: A total of 43,558 inpatients were enrolled. Among them, 986 patients had a stroke which frequency was 2.26 %. The incidence rate has been estimated to 79.58/ 100,000 inhabitants/year.  Male subjects were observed in 50.8% and 49.2% of females. The mean age was 59 ± 13.2 years. Concerning the stroke subtype, ischemic stroke was found with 54.9% and 45.1% of hemorrhagic including 10.8 % of subarachnoid hemorrhage. The traditional main risk factors were hypertension (87.3 %) and diabetes (17.5 %). The mean time of admission was 55 ± 20.75 hours. The average time before beginning first care was 56 ± 20.74 hours. Only 44% of patients had received first aids within 24 hours. The average length of stay was 17 ± 8.5 days. The mean modified Rankin scale score at the exit time was 2.3 ± 0.8. At discharge, 58.9% of patient had partial motor deficits and 27.5% of them died. Conclusion: A good knowledge of risk factors and early signs of stroke by the population will reduce stroke mortality and its functional sequel. All these lacks of assessment increase the delay in the management of patient and lead to permanent deficits.},
     year = {2015}
    }
    

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  • TY  - JOUR
    T1  - Epidemiology, Risk Factors, Type and Outcome of Stroke in Health Care Facilities of Lomé, Togo: A Prospective Study
    AU  - Komi Assogba
    AU  - Mofou Belo
    AU  - Ekué A. Folly
    AU  - Kossivi M. Apetsè
    AU  - Damelan Kombaté
    AU  - Koumavi D. Ekouévi
    AU  - Koffi A. A. Balogou
    AU  - Eric K. Grunitzky
    Y1  - 2015/01/04
    PY  - 2015
    N1  - https://doi.org/10.11648/j.sjph.20150301.15
    DO  - 10.11648/j.sjph.20150301.15
    T2  - Science Journal of Public Health
    JF  - Science Journal of Public Health
    JO  - Science Journal of Public Health
    SP  - 25
    EP  - 30
    PB  - Science Publishing Group
    SN  - 2328-7950
    UR  - https://doi.org/10.11648/j.sjph.20150301.15
    AB  - Background: Stroke is the leading cause of permanent disability acquired in the world. Aim: To study the epidemiological indices, risk factors and outcome of stroke. Subjects and Methods: It was a prospective study to collect epidemiological data, clinical presentation and outcome of stroke patients in 28 public and private health facilities in our largest health region. It had covered the period from January to December 2013. Results: A total of 43,558 inpatients were enrolled. Among them, 986 patients had a stroke which frequency was 2.26 %. The incidence rate has been estimated to 79.58/ 100,000 inhabitants/year.  Male subjects were observed in 50.8% and 49.2% of females. The mean age was 59 ± 13.2 years. Concerning the stroke subtype, ischemic stroke was found with 54.9% and 45.1% of hemorrhagic including 10.8 % of subarachnoid hemorrhage. The traditional main risk factors were hypertension (87.3 %) and diabetes (17.5 %). The mean time of admission was 55 ± 20.75 hours. The average time before beginning first care was 56 ± 20.74 hours. Only 44% of patients had received first aids within 24 hours. The average length of stay was 17 ± 8.5 days. The mean modified Rankin scale score at the exit time was 2.3 ± 0.8. At discharge, 58.9% of patient had partial motor deficits and 27.5% of them died. Conclusion: A good knowledge of risk factors and early signs of stroke by the population will reduce stroke mortality and its functional sequel. All these lacks of assessment increase the delay in the management of patient and lead to permanent deficits.
    VL  - 3
    IS  - 1
    ER  - 

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Author Information
  • Neurology Unit, Campus University Teaching Hospital, Lomé, Togo

  • Department of Neurology, Tokoin University Teaching Hospital, Lomé, Togo

  • Neurology Unit, Campus University Teaching Hospital, Lomé, Togo

  • Neurology Unit, Campus University Teaching Hospital, Lomé, Togo

  • Neurology Unit, Campus University Teaching Hospital, Lomé, Togo

  • University of Lomé, Department of Public Health, Lomé, Togo

  • Neurology Unit, Campus University Teaching Hospital, Lomé, Togo

  • Department of Neurology, Tokoin University Teaching Hospital, Lomé, Togo

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