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Stroke in Sub-saharan Africa: Observations from Donka National Hospital

Received: 18 March 2021    Accepted: 27 September 2021    Published: 24 November 2021
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Abstract

Introduction: Stroke is a major public health problem, the consequences of which are as much medico-social as they are economic. The main objective is to make a socio-demographic, clinical, therapeutic and prognostic assessment in the short term in a medico-surgical emergency department in Guinea. Material and Methods: This was a descriptive retrospective study lasting 2 years from January 1st, 2014 to December 31st, 2015 inclusive. All complete medical records of patients hospitalized for stroke confirmed by brain scan were included in this study. Sociodemographic, clinical, para-clinical, therapeutic and evolutionary data were collected. Results: During the 2 years out of 1321 patients hospitalized in the intensive care unit, strokes represented 7.3% of cases. The average age was 67.2 years old with the extremes of 30 and 99 years old. We had a male predominance of 59 men versus 38 women with a sex ratio of 1.55. The most common cardiovascular risk factors were high blood pressure (74.23%), diabetes (22.68%), and age (89.69%). The Glasgow Score was between 3 - 8/15 in 49 patients or 50.52%. The death rate was 14.4%. Conclusion: The management of serious strokes in intensive care units in emergency rooms considerably reduces short-term mortality and neurological sequelae of patients.

Published in International Journal of Biomedical Engineering and Clinical Science (Volume 7, Issue 4)
DOI 10.11648/j.ijbecs.20210704.12
Page(s) 77-80
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

Stroke, Epidemiology, Prognosis, Intensive Care Unit, Guinea

References
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  • APA Style

    Vamala Guillavogui, Djibril Sylla, Foksouna Sakadi, Seylan Diawara, Nestor Onikoyamou, et al. (2021). Stroke in Sub-saharan Africa: Observations from Donka National Hospital. International Journal of Biomedical Engineering and Clinical Science, 7(4), 77-80. https://doi.org/10.11648/j.ijbecs.20210704.12

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    ACS Style

    Vamala Guillavogui; Djibril Sylla; Foksouna Sakadi; Seylan Diawara; Nestor Onikoyamou, et al. Stroke in Sub-saharan Africa: Observations from Donka National Hospital. Int. J. Biomed. Eng. Clin. Sci. 2021, 7(4), 77-80. doi: 10.11648/j.ijbecs.20210704.12

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    AMA Style

    Vamala Guillavogui, Djibril Sylla, Foksouna Sakadi, Seylan Diawara, Nestor Onikoyamou, et al. Stroke in Sub-saharan Africa: Observations from Donka National Hospital. Int J Biomed Eng Clin Sci. 2021;7(4):77-80. doi: 10.11648/j.ijbecs.20210704.12

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  • @article{10.11648/j.ijbecs.20210704.12,
      author = {Vamala Guillavogui and Djibril Sylla and Foksouna Sakadi and Seylan Diawara and Nestor Onikoyamou and Abdel-madjid Zakaria Zakaria and Kezely Beavogui and Amara Cisse},
      title = {Stroke in Sub-saharan Africa: Observations from Donka National Hospital},
      journal = {International Journal of Biomedical Engineering and Clinical Science},
      volume = {7},
      number = {4},
      pages = {77-80},
      doi = {10.11648/j.ijbecs.20210704.12},
      url = {https://doi.org/10.11648/j.ijbecs.20210704.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijbecs.20210704.12},
      abstract = {Introduction: Stroke is a major public health problem, the consequences of which are as much medico-social as they are economic. The main objective is to make a socio-demographic, clinical, therapeutic and prognostic assessment in the short term in a medico-surgical emergency department in Guinea. Material and Methods: This was a descriptive retrospective study lasting 2 years from January 1st, 2014 to December 31st, 2015 inclusive. All complete medical records of patients hospitalized for stroke confirmed by brain scan were included in this study. Sociodemographic, clinical, para-clinical, therapeutic and evolutionary data were collected. Results: During the 2 years out of 1321 patients hospitalized in the intensive care unit, strokes represented 7.3% of cases. The average age was 67.2 years old with the extremes of 30 and 99 years old. We had a male predominance of 59 men versus 38 women with a sex ratio of 1.55. The most common cardiovascular risk factors were high blood pressure (74.23%), diabetes (22.68%), and age (89.69%). The Glasgow Score was between 3 - 8/15 in 49 patients or 50.52%. The death rate was 14.4%. Conclusion: The management of serious strokes in intensive care units in emergency rooms considerably reduces short-term mortality and neurological sequelae of patients.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - Stroke in Sub-saharan Africa: Observations from Donka National Hospital
    AU  - Vamala Guillavogui
    AU  - Djibril Sylla
    AU  - Foksouna Sakadi
    AU  - Seylan Diawara
    AU  - Nestor Onikoyamou
    AU  - Abdel-madjid Zakaria Zakaria
    AU  - Kezely Beavogui
    AU  - Amara Cisse
    Y1  - 2021/11/24
    PY  - 2021
    N1  - https://doi.org/10.11648/j.ijbecs.20210704.12
    DO  - 10.11648/j.ijbecs.20210704.12
    T2  - International Journal of Biomedical Engineering and Clinical Science
    JF  - International Journal of Biomedical Engineering and Clinical Science
    JO  - International Journal of Biomedical Engineering and Clinical Science
    SP  - 77
    EP  - 80
    PB  - Science Publishing Group
    SN  - 2472-1301
    UR  - https://doi.org/10.11648/j.ijbecs.20210704.12
    AB  - Introduction: Stroke is a major public health problem, the consequences of which are as much medico-social as they are economic. The main objective is to make a socio-demographic, clinical, therapeutic and prognostic assessment in the short term in a medico-surgical emergency department in Guinea. Material and Methods: This was a descriptive retrospective study lasting 2 years from January 1st, 2014 to December 31st, 2015 inclusive. All complete medical records of patients hospitalized for stroke confirmed by brain scan were included in this study. Sociodemographic, clinical, para-clinical, therapeutic and evolutionary data were collected. Results: During the 2 years out of 1321 patients hospitalized in the intensive care unit, strokes represented 7.3% of cases. The average age was 67.2 years old with the extremes of 30 and 99 years old. We had a male predominance of 59 men versus 38 women with a sex ratio of 1.55. The most common cardiovascular risk factors were high blood pressure (74.23%), diabetes (22.68%), and age (89.69%). The Glasgow Score was between 3 - 8/15 in 49 patients or 50.52%. The death rate was 14.4%. Conclusion: The management of serious strokes in intensive care units in emergency rooms considerably reduces short-term mortality and neurological sequelae of patients.
    VL  - 7
    IS  - 4
    ER  - 

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Author Information
  • Neurosurgery Department, Donka National Hospital, Conakry, Guinea

  • Department of Medical and Surgical Emergency, Donka National Hospital, Conakry, Guinea

  • Neurology Unit, National Reference Teaching Hospital, Ndjamena, Chad

  • Neurosurgery Department, Donka National Hospital, Conakry, Guinea

  • Neurosurgery Department, Donka National Hospital, Conakry, Guinea

  • Neurology Unit, National Reference Teaching Hospital, Ndjamena, Chad

  • Neurosurgery Department, Donka National Hospital, Conakry, Guinea

  • Neurology Department, Ignace Deen National Hospital, Conakry, Guinea

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