Clinical Neurology and Neuroscience

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Neurological Disease Surveillance in Cameroon, a Rural and Urban-Based Inout Patient Population Study

Received: 17 March 2019    Accepted: 17 April 2019    Published: 31 May 2019
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Abstract

Background: There is a paucity of literature on the burden of neurological diseases in sub-Saharan Africa. Objective: To create a registry and surveillance of neurological diseases from urban and rural health centers in Cameroon. Methods: Retrospective review of medical records of inpatients and outpatients from two urban public hospitals in Douala and two rural health care centers, from 2013 to 2015 was conducted. In the urban areas, the diagnosis was made by a neurologist but this was not the case in the rural areas. The following variables were analyzed: demographics, medical center characteristics, presenting neurological complaint, medical history, neurological diagnosis, death and disability. Neurological diseases were classified according to ICD-10. Results: Out of 20,131 medical charts available (13% from the rural area), 4,187 cases (20.7%) with neurological complaints were identified and reviewed, mean age 48.67 + 18.62 years, females 54.7%, 188 children (4.4%). The most frequent neurological complaints were: paresis/weakness (G.82, 25.2%) and headache (R.51, 22.0%). The most common concurrent medical history was hypertension (I10, 40.0%), and HIV (B20, 16.45%). The most common neurological diagnoses were cerebrovascular disease (G45, G46, 51.5%), and infection (B50, G00, G04, G06, 24.13%) in adults, and epilepsy (G40, 64.0%) in children. Death due to neurological cause was recorded in 428 patients (19.1%), and disability in 1,072 (57.2%). Neurodegenerative diseases were exclusively diagnosed in urban areas. Conclusion: Population aging and changes in the distribution of risk factors have accelerated the prevalence of non-communicable diseases such as cerebrovascular disease. However, additional work to characterize the nature of diagnosis, treatment and care is important to advance quality of care in the adult and pediatric neurological disorders. A health policy geared towards prevention and neurological training for health professionals is warranted.

DOI 10.11648/j.cnn.20190301.15
Published in Clinical Neurology and Neuroscience (Volume 3, Issue 1, March 2019)
Page(s) 24-30
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), 2024. Published by Science Publishing Group

Keywords

Neurological Disease, Surveillance, Cameroon

References
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Author Information
  • Department of Neurology, University of Douala, Douala, Cameroon

  • Department of Neurology, University of Douala, Douala, Cameroon

  • Department of Neurology, University of Douala, Douala, Cameroon

  • Department of Neurology, University of Douala, Douala, Cameroon

  • Department of Neurology, University of Douala, Douala, Cameroon

  • Department of Neurology, Columbia University, New York, NewYork, United States

  • Department of Neurology, University of Douala, Douala, Cameroon

  • Department of Neurology, University of Burgos, Burgos, Spain

  • Department of Neurology, University of Burgos, Burgos, Spain

  • Department of Neurology, University of Burgos, Burgos, Spain

Cite This Article
  • APA Style

    Jacques Doumbe, Yacouba Njankouo Mapoure, Theophile Nyinyikua, Callixte Kuate, Katie Kompoliti, et al. (2019). Neurological Disease Surveillance in Cameroon, a Rural and Urban-Based Inout Patient Population Study. Clinical Neurology and Neuroscience, 3(1), 24-30. https://doi.org/10.11648/j.cnn.20190301.15

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    ACS Style

    Jacques Doumbe; Yacouba Njankouo Mapoure; Theophile Nyinyikua; Callixte Kuate; Katie Kompoliti, et al. Neurological Disease Surveillance in Cameroon, a Rural and Urban-Based Inout Patient Population Study. Clin. Neurol. Neurosci. 2019, 3(1), 24-30. doi: 10.11648/j.cnn.20190301.15

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    AMA Style

    Jacques Doumbe, Yacouba Njankouo Mapoure, Theophile Nyinyikua, Callixte Kuate, Katie Kompoliti, et al. Neurological Disease Surveillance in Cameroon, a Rural and Urban-Based Inout Patient Population Study. Clin Neurol Neurosci. 2019;3(1):24-30. doi: 10.11648/j.cnn.20190301.15

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  • @article{10.11648/j.cnn.20190301.15,
      author = {Jacques Doumbe and Yacouba Njankouo Mapoure and Theophile Nyinyikua and Callixte Kuate and Katie Kompoliti and Hiral Shal and Bichum Ouyang and Sara Calvo and Abel Fernandez-Sierra and Esther Cubo},
      title = {Neurological Disease Surveillance in Cameroon, a Rural and Urban-Based Inout Patient Population Study},
      journal = {Clinical Neurology and Neuroscience},
      volume = {3},
      number = {1},
      pages = {24-30},
      doi = {10.11648/j.cnn.20190301.15},
      url = {https://doi.org/10.11648/j.cnn.20190301.15},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.cnn.20190301.15},
      abstract = {Background: There is a paucity of literature on the burden of neurological diseases in sub-Saharan Africa. Objective: To create a registry and surveillance of neurological diseases from urban and rural health centers in Cameroon. Methods: Retrospective review of medical records of inpatients and outpatients from two urban public hospitals in Douala and two rural health care centers, from 2013 to 2015 was conducted. In the urban areas, the diagnosis was made by a neurologist but this was not the case in the rural areas. The following variables were analyzed: demographics, medical center characteristics, presenting neurological complaint, medical history, neurological diagnosis, death and disability. Neurological diseases were classified according to ICD-10. Results: Out of 20,131 medical charts available (13% from the rural area), 4,187 cases (20.7%) with neurological complaints were identified and reviewed, mean age 48.67 + 18.62 years, females 54.7%, 188 children (4.4%). The most frequent neurological complaints were: paresis/weakness (G.82, 25.2%) and headache (R.51, 22.0%). The most common concurrent medical history was hypertension (I10, 40.0%), and HIV (B20, 16.45%). The most common neurological diagnoses were cerebrovascular disease (G45, G46, 51.5%), and infection (B50, G00, G04, G06, 24.13%) in adults, and epilepsy (G40, 64.0%) in children. Death due to neurological cause was recorded in 428 patients (19.1%), and disability in 1,072 (57.2%). Neurodegenerative diseases were exclusively diagnosed in urban areas. Conclusion: Population aging and changes in the distribution of risk factors have accelerated the prevalence of non-communicable diseases such as cerebrovascular disease. However, additional work to characterize the nature of diagnosis, treatment and care is important to advance quality of care in the adult and pediatric neurological disorders. A health policy geared towards prevention and neurological training for health professionals is warranted.},
     year = {2019}
    }
    

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  • TY  - JOUR
    T1  - Neurological Disease Surveillance in Cameroon, a Rural and Urban-Based Inout Patient Population Study
    AU  - Jacques Doumbe
    AU  - Yacouba Njankouo Mapoure
    AU  - Theophile Nyinyikua
    AU  - Callixte Kuate
    AU  - Katie Kompoliti
    AU  - Hiral Shal
    AU  - Bichum Ouyang
    AU  - Sara Calvo
    AU  - Abel Fernandez-Sierra
    AU  - Esther Cubo
    Y1  - 2019/05/31
    PY  - 2019
    N1  - https://doi.org/10.11648/j.cnn.20190301.15
    DO  - 10.11648/j.cnn.20190301.15
    T2  - Clinical Neurology and Neuroscience
    JF  - Clinical Neurology and Neuroscience
    JO  - Clinical Neurology and Neuroscience
    SP  - 24
    EP  - 30
    PB  - Science Publishing Group
    SN  - 2578-8930
    UR  - https://doi.org/10.11648/j.cnn.20190301.15
    AB  - Background: There is a paucity of literature on the burden of neurological diseases in sub-Saharan Africa. Objective: To create a registry and surveillance of neurological diseases from urban and rural health centers in Cameroon. Methods: Retrospective review of medical records of inpatients and outpatients from two urban public hospitals in Douala and two rural health care centers, from 2013 to 2015 was conducted. In the urban areas, the diagnosis was made by a neurologist but this was not the case in the rural areas. The following variables were analyzed: demographics, medical center characteristics, presenting neurological complaint, medical history, neurological diagnosis, death and disability. Neurological diseases were classified according to ICD-10. Results: Out of 20,131 medical charts available (13% from the rural area), 4,187 cases (20.7%) with neurological complaints were identified and reviewed, mean age 48.67 + 18.62 years, females 54.7%, 188 children (4.4%). The most frequent neurological complaints were: paresis/weakness (G.82, 25.2%) and headache (R.51, 22.0%). The most common concurrent medical history was hypertension (I10, 40.0%), and HIV (B20, 16.45%). The most common neurological diagnoses were cerebrovascular disease (G45, G46, 51.5%), and infection (B50, G00, G04, G06, 24.13%) in adults, and epilepsy (G40, 64.0%) in children. Death due to neurological cause was recorded in 428 patients (19.1%), and disability in 1,072 (57.2%). Neurodegenerative diseases were exclusively diagnosed in urban areas. Conclusion: Population aging and changes in the distribution of risk factors have accelerated the prevalence of non-communicable diseases such as cerebrovascular disease. However, additional work to characterize the nature of diagnosis, treatment and care is important to advance quality of care in the adult and pediatric neurological disorders. A health policy geared towards prevention and neurological training for health professionals is warranted.
    VL  - 3
    IS  - 1
    ER  - 

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