@article{10.11648/j.cnn.20230702.13,
  author = {Agba Lehleng and Tcherou Tchaa and Djalogue Lihanimpo and Talabewi Abide and Anayo Nyinevi and Dagbe Massaga and Kumako Vinyo and Kombate Damelan and Assogba Komi and Balogou Agnon Ayelola},
  title = {Stroke at University Teaching Hospital of Kara (Togo) in 2022: Epidemiological, Clinical, and Evolving Aspects},
  journal = {Clinical Neurology and Neuroscience},
  volume = {7},
  number = {2},
  pages = {38-45},
  doi = {10.11648/j.cnn.20230702.13},
  url = {https://doi.org/10.11648/j.cnn.20230702.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cnn.20230702.13},
  abstract = {Introduction: Recent studies on stroke in sub-Saharan Africa have focused on clinical and therapeutic specificities, overlooking their epidemiological aspects. Objective: We conducted this study with the aim of updating the epidemiological, clinical, and evolutionary aspects of strokes at the University Teaching Hospital of Kara (Northern Togo). Patients and Methods: From July 1st to December 31st, 2022, a prospective study was conducted in the Neurology Department of the University Hospital of Kara (Togo) on patients hospitalized for stroke. Results: Stroke accounted for 71.68% of Neurology admissions. Eighty-one patients were included, of which 45 (55.56%) were female. The mean age was 55.04 ± 15.72 years (17-93). Ischemic stroke occurred in 46 patients (56.79%). The main cardiovascular risk factors were personal hypertension (n = 46; 56.79%), familial hypertension (n = 37; 45.68%), dyslipidemia (n = 24; 29.63%), and smoking (n = 18; 22.22%). The main symptoms were motor deficit (n = 55; 67.90%), unusual headaches (n = 28; 34.57%), language disorders (n = 27; 33.33%), and altered consciousness (n = 25; 38.86%). The onset was sudden in 79.01% of cases (n = 64). The mean GCS was 13.74 ± 2.55 in patients with ischemic stroke and 11.00 ± 4.27 in those with hemorrhagic stroke, with p = 0.003. Eight patients (13.11%) had a GCS below 7; and among them, 87.50% (n = 7) had a hemorrhagic stroke (p = 0.008). Motor deficit was observed in 71 out of the 74 evaluated patients (95.95%). Among patients who had a NIHS scale ≥ 15 (n = 43), 51.16% (n = 22) had hemorrhagic stroke, with no significant differences according to the type of stroke (p = 0.124; RR = 1.38; 95% CI: [0.92 - 2.06]). Middle cerebral artery (MCA) was involved in 87.5% of cases of ischemic stroke. Isolated involvement of the infratentorial region was found in 9 patients, of which 6 (66.67%) were hemorrhagic. The mean ICH score of patients with hemorrhagic stroke was 2.06 ± 1.37 ([0 – 5]). The mortality rate was 23.46% (n = 19), with 40.00% in hemorrhagic stroke versus 10.87% in ischemic stroke (p = 0.002; RR = 3.68; 95% CI: [1.46-9.25]). Patients with ischemic stroke had a heavier physical disability at discharge from the hospital. Conclusion: The results of this study can serve as a basis to guide public health policies and the management of stroke patients in this region.},
 year = {2023}
}

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TY  - JOUR
T1  - Stroke at University Teaching Hospital of Kara (Togo) in 2022: Epidemiological, Clinical, and Evolving Aspects
AU  - Agba Lehleng
AU  - Tcherou Tchaa
AU  - Djalogue Lihanimpo
AU  - Talabewi Abide
AU  - Anayo Nyinevi
AU  - Dagbe Massaga
AU  - Kumako Vinyo
AU  - Kombate Damelan
AU  - Assogba Komi
AU  - Balogou Agnon Ayelola
Y1  - 2023/07/20
PY  - 2023
N1  - https://doi.org/10.11648/j.cnn.20230702.13
DO  - 10.11648/j.cnn.20230702.13
T2  - Clinical Neurology and Neuroscience
JF  - Clinical Neurology and Neuroscience
JO  - Clinical Neurology and Neuroscience
SP  - 38
EP  - 45
PB  - Science Publishing Group
SN  - 2578-8930
UR  - https://doi.org/10.11648/j.cnn.20230702.13
AB  - Introduction: Recent studies on stroke in sub-Saharan Africa have focused on clinical and therapeutic specificities, overlooking their epidemiological aspects. Objective: We conducted this study with the aim of updating the epidemiological, clinical, and evolutionary aspects of strokes at the University Teaching Hospital of Kara (Northern Togo). Patients and Methods: From July 1st to December 31st, 2022, a prospective study was conducted in the Neurology Department of the University Hospital of Kara (Togo) on patients hospitalized for stroke. Results: Stroke accounted for 71.68% of Neurology admissions. Eighty-one patients were included, of which 45 (55.56%) were female. The mean age was 55.04 ± 15.72 years (17-93). Ischemic stroke occurred in 46 patients (56.79%). The main cardiovascular risk factors were personal hypertension (n = 46; 56.79%), familial hypertension (n = 37; 45.68%), dyslipidemia (n = 24; 29.63%), and smoking (n = 18; 22.22%). The main symptoms were motor deficit (n = 55; 67.90%), unusual headaches (n = 28; 34.57%), language disorders (n = 27; 33.33%), and altered consciousness (n = 25; 38.86%). The onset was sudden in 79.01% of cases (n = 64). The mean GCS was 13.74 ± 2.55 in patients with ischemic stroke and 11.00 ± 4.27 in those with hemorrhagic stroke, with p = 0.003. Eight patients (13.11%) had a GCS below 7; and among them, 87.50% (n = 7) had a hemorrhagic stroke (p = 0.008). Motor deficit was observed in 71 out of the 74 evaluated patients (95.95%). Among patients who had a NIHS scale ≥ 15 (n = 43), 51.16% (n = 22) had hemorrhagic stroke, with no significant differences according to the type of stroke (p = 0.124; RR = 1.38; 95% CI: [0.92 - 2.06]). Middle cerebral artery (MCA) was involved in 87.5% of cases of ischemic stroke. Isolated involvement of the infratentorial region was found in 9 patients, of which 6 (66.67%) were hemorrhagic. The mean ICH score of patients with hemorrhagic stroke was 2.06 ± 1.37 ([0 – 5]). The mortality rate was 23.46% (n = 19), with 40.00% in hemorrhagic stroke versus 10.87% in ischemic stroke (p = 0.002; RR = 3.68; 95% CI: [1.46-9.25]). Patients with ischemic stroke had a heavier physical disability at discharge from the hospital. Conclusion: The results of this study can serve as a basis to guide public health policies and the management of stroke patients in this region.
VL  - 7
IS  - 2
ER  - 

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