Care process for stroke patients in kenya: mixed study

Kingau, Naomi Wanjiru

doi:10.15761/hec.1000136

Cited by 2 publications

(5 citation statements)

References 31 publications

(42 reference statements)

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“…Twelve hospital-based studies conducted between 2003 and 2017 met the inclusion criteria ( 14 – 25 ). Six studies were retrospective ( 14 , 19 – 21 , 23 , 25 ) while six were prospective ( 15 – 18 , 22 , 24 ). One study was conducted in a rural hospital ( 18 ), and one in a private hospital ( 19 ).…”

Section: Resultsmentioning

confidence: 99%

“…One study was conducted in a rural hospital ( 18 ), and one in a private hospital ( 19 ). Five studies were single-center ( 14 , 18 , 19 , 21 , 24 ) while seven were multicenter ( 15 – 17 , 20 , 22 , 23 , 25 ). One study included only cortical ischemic stroke patients ( 21 ) while one other study included only patients with chronic (over two months) strokes aged 15–49 years ( 20 ).…”

Section: Resultsmentioning

confidence: 99%

“…Vascular imaging for ischemic stroke via carotid doppler imaging is more common in private/urban hospitals, but even then was only 40% in a private hospital study ( 19 ). Even less data was available on stroke rehabilitation ( 22 ) with only one low-quality study reporting on inpatient physiotherapy ( 23 ). Secondary prevention was also very basic with only two-thirds of patients discharged on antithrombotic drugs ( 14 ).…”

Section: Resultsmentioning

confidence: 99%

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Stroke Epidemiology, Care, and Outcomes in Kenya: A Scoping Review

Waweru

Gatimu

2021

Front. Neurol.

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Background: Stroke is a leading cause of death and disability in sub-Saharan Africa with increasing incidence. In Kenya, it is a neglected condition with a paucity of evidence despite its need for urgent care and hefty economic burden. Therefore, we reviewed studies on stroke epidemiology, care, and outcomes in Kenya to highlight existing evidence and gaps on stroke in Kenya.Methods: We reviewed all published studies on epidemiology, care, and outcomes of stroke in Kenya between 1 January 1990 to 31 December 2020 from PubMed, Web of Science, EBSCOhost, Scopus, and African journal online. We excluded case reports, reviews, and commentaries. We used the Newcastle-Ottawa scale adapted for cross-sectional studies to assess the quality of included studies.Results: Twelve articles were reviewed after excluding 111 duplicates and 94 articles that did not meet the inclusion criteria. Five studies were of low quality, two of medium quality, and five of high quality. All studies were hospital-based and conducted between 2003 and 2017. Of the included studies, six were prospective and five were single-center. Stroke patients in the studies were predominantly female, in their seventh decade with systemic hypertension. The mortality rate ranged from 5 to 27% in-hospital and 23.4 to 26.7% in 1 month.Conclusions: Our study highlights that stroke is a significant problem in Kenya, but current evidence is of low quality and limited in guiding policy development and improving stroke care. There is thus a need for increased investment in hospital- and community-based stroke care and research.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Stroke Epidemiology, Care, and Outcomes in Kenya: A Scoping Review

Waweru

Gatimu

2021

Front. Neurol.

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“…Previous authors [ 39 , 40 ] have shown that life-threatening problems in stroke vary in severity among patients and practice settings and that such problems may influence physicians’ decisions regarding the initiation of rehabilitation. Kingau [ 30 ] also showed that some patients admitted to hospitals in Kenya received physiotherapy one week later after their conditions had stabilised. These studies altogether suggest that the patient’s current health state is a good predictor of rehabilitation onset during the admission to hospital.…”

Section: Discussionmentioning

confidence: 99%

“…To the best of our understanding, the extent to which stroke patients in Tanzania are afflicted with stroke and subsequent disability is not known. While we know from Kingau [ 30 ] that the frequency of rehabilitation is a key determinant for recovery, the extent to which patients at the Kilimanjaro Christian Medical Centre (KCMC) get access to rehabilitation therapies during and after the admission to hospital is not known. However, stroke has been described as an important cause of admission to the KCMC.…”

Section: Introductionmentioning

confidence: 99%

The characteristics of stroke and its rehabilitation in Northern Tanzania

Mkoba

Sundelin

Sahlén

et al. 2021

Global Health Action

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Background Stroke causes great suffering and severe disability worldwide, and rehabilitation following a stroke seeks to restore lost functions. The extent to which stroke patients get access to rehabilitation in Tanzania is not well estimated, and drawing a current picture of the rehabilitation services for these persons is the first step in developing a more effective rehabilitation model in the country. Objective The objective of this study was to establish the characteristics of stroke and its rehabilitation at the Kilimanjaro Christian Medical Centre (KCMC), a consultant referral hospital in northern Tanzania. Methods This was a records-based descriptive study in which demographic, clinical, and rehabilitation information of stroke patients admitted to the KCMC between January 2012 and December 2015 was collected and audited. The means, percentages, and proportions were used to summarise the demographic, clinical, and rehabilitation patterns using SPSS version 24.0 software. The chi-squared statistic was used to examine the relationships between categorical variables, and a p -value<0.05 was considered statistically significant. Results Of the 17,975 patients admitted to the KCMC during the period of the study, 753 (4.2%) had suffered a stroke, with a mean age of 68.8 ± 16.4 years. The predominant cause of stroke was hypertension, which accounted for 546 (72.5%) patients. A total of 357 (47.4%) patients had various forms of rehabilitation during the admission to hospital. Following a discharge home 240 (31.9%) patients did not return to the hospital for the continuation of rehabilitation. Conclusion Stroke patients at the KCMC lack access to rehabilitation therapies. Insufficient access to rehabilitation therapies may warrant the need to explore alternative approaches such as tele-rehabilitation technologies in Tanzania.

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Care process for stroke patients in kenya: mixed study

Cited by 2 publications

References 31 publications

Stroke Epidemiology, Care, and Outcomes in Kenya: A Scoping Review

Stroke Epidemiology, Care, and Outcomes in Kenya: A Scoping Review

The characteristics of stroke and its rehabilitation in Northern Tanzania

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