Itinéraire pré- et post-hospitalier des patients présentant un accident vasculaire cérébral (AVC)

Doumbia-Ouattara, Mariam; Kouame-Assouan, Ange-Eric; Kouassi, Léonard; Diakite, Ismaïla; Sonan-Douayoua, Thérèse

doi:10.1016/j.neurol.2013.01.190

Cited by 1 publication

(9 citation statements)

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“…The results of this study, as observed by very few authors [15], have shown that the first consultation unfold mainly in a Western medicine structure. This result is in contradiction with the vast majority of data from the sub-Saharan Africa literature describing therapeutic itinerary that begins with traditional medicine or prayer [1][2][3].…”

Section: Characteristics Of the Therapeutic Itinerarycontrasting

confidence: 76%

“…In sub-Saharan Africa, only a small number of studies have been devoted to the therapeutic itinerary of people living with epilepsy (PWE). These studies describe a therapeutic itinerary of PWE that passes successively or simultaneously through three types of treatment: Western medicine, traditional medicine and prayer [1][2][3][4].…”

Section: Introductionmentioning

confidence: 99%

“…Traditional medicine is often the first step in the quest for care of sub-Saharan Africa's PWE [2,3,5]. Its geographical, economic and cultural accessibility pleads in its favor [3,5].…”

Section: Introductionmentioning

confidence: 99%

“…Traditional medicine is often the first step in the quest for care of sub-Saharan Africa's PWE [2,3,5]. Its geographical, economic and cultural accessibility pleads in its favor [3,5]. In sub-Saharan Africa treatment with Western medicine is not the first choice of PWE [2,3,5,6].…”

Section: Introductionmentioning

confidence: 99%

“…Its geographical, economic and cultural accessibility pleads in its favor [3,5]. In sub-Saharan Africa treatment with Western medicine is not the first choice of PWE [2,3,5,6]. Only one-third of PWE arriving in a neurological structure has ever received antiepileptic medication [6][7][8].…”

Section: Introductionmentioning

confidence: 99%

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Therapeutic itinerary of children living with epilepsy in Kinshasa: Features, determinants, and relationships with behavioral problems and cognitive impairment

Nzuzi

Miezi

Charlier-Mikolajczak

et al. 2019

Epilepsy & Behavior

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Background: Epilepsy mostly affects children in sub-Saharan Africa. However, little is known about the therapeutic itinerary of these children living with epilepsy (CWE). This study aims to describe the therapeutic itinerary of CWE in Kinshasa and to analyze its relationships with clinical features, behavioral problems and cognitive impairment.Methods: This hospital-based study has included 104 CWE aged 6 to 17 years. The features of their therapeutic itinerary and their relationship with clinical features, behavioral problems and cognitive impairment were analyzed.Results: The vast majority of CWE (87%) has started their therapeutic itinerary by the Western medicine. The first source of information about epilepsy as well as the type of antiepileptic treatment varied with the socioeconomic status of families of CWE. The total duration of the therapeutic itinerary was shorter for the CWE who were living with both their parents (P = .038), who had generalized seizures (P = .0073) or who had no family history of epileptic seizures (P = .019). The CWE who had total behavioral problem, compared to the others, were putting more time (P = .021) to reach the CSMT after the suspicion or the diagnostic of epilepsy. The total duration of CWE who had cognitive impairment (P = .021) was longer than that of CWE who had not cognitive impairment.Conclusion: the therapeutic itinerary of CWE in Kinshasa began with Western medicine. The remainder of this therapeutic itinerary highlights the difficulties of the primary level of the pyramid of care in the management of these CWE. This study also shows that the therapeutic itinerary of CWE was associated with socioeconomic conditions, clinical features, behavioral problems and cognitive impairment.

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Section: Characteristics Of the Therapeutic Itinerarycontrasting

confidence: 76%

Section: Introductionmentioning

confidence: 99%

“…Traditional medicine is often the first step in the quest for care of sub-Saharan Africa's PWE [2,3,5]. Its geographical, economic and cultural accessibility pleads in its favor [3,5].…”

Section: Introductionmentioning

confidence: 99%