Morbidité et mortalité hospitalière des maladies cardiovasculaires en milieu tropical : exemple d’un centre hospitalier à Lomé (Togo)

Damorou, F; Baragou, S; Pio, Machihuede; Afassinou, Yaovi; N’Da, Nkenon Watani; Pessinaba, S.; Tchérou, Tchaa; Attiogbé, Halé; Ehlan, Koffi; Goeh-Akué, E; Yayehd, Komlavi

doi:10.11604/pamj.2014.17.62.2237

Cited by 21 publications

(13 citation statements)

References 10 publications

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“…Le taux de létalité était de 10,3%. Ce taux varie dans les différentes séries hospitalières africaines avec 11,86% à Lomé [ 8 ], 9,03% à Yaoundé [ 9 ] et 10,1% à Kano au Nigéria [ 10 ]. Il reste néanmoins supérieur à ceux des pays à revenus plus élevés tels que le Maroc (6,1%) [ 11 ] et la France (7,5%) [ 1 ].…”

Section: Discussionunclassified

Létalité de l’insuffisance cardiaque au Centre Hospitalier Universitaire de Libreville (CHUL) et facteurs associés

Bivigou¹,

Allognon²,

Ndoume³

et al. 2018

Pan Afr Med J

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IntroductionL'insuffisance cardiaque (IC) est une cause fréquente de décès en Afrique. La présente étude a pour but de déterminer le taux de létalité de l'IC et de rechercher les facteurs associés.MéthodesIl s'agissait d'une étude rétrospective transversale réalisée dans le service de cardiologie du CHUL. Elle portait sur l'analyse de dossiers de patients hospitalisés pour IC gauche ou globale colligés de Janvier 2014 à Décembre 2016.Résultatsla létalité était de 10,3%. L'âge moyen des patients décédés (n=64) était de 57,4 ± 17 ans. Le délai moyen de prise en charge était de 15± 18 jours et la décompensation faisait suite à un écart de traitement chez 51,4% des patients décédés. L'association hypertension artérielle et diabète augmentait significativement le risque de décès (OR= 2,2 (1,2-6,6)). Les facteurs associés à la létalité étaient essentiellement: l'hypotension artérielle (OR=6,8(3,2-14,1)), l'insuffisance rénale sévère (OR=3,5(1,7-7,2)), un index cardio-thoracique supérieur à 0,7 (OR= 54,4 (15,3-193,1)), une altération sévère de la fraction d'éjection ventriculaire gauche (OR= 3,0(1,5-5,9)) et un taux élevé de NT-proBNP (OR=3,5(1,2-10,5)). La mortalité augmentait significativement avec le nombre de comorbidités. Les décès étaient dus dans 28,4% des cas à une complication extracardiaque.ConclusionLa létalité de l'IC est liée à la sévérité et à la précocité des lésions. Le retard de prise en charge et les comorbidités aggravent cette létalité. Le dépistage des facteurs de risque et l'éducation thérapeutique pourraient diminuer cette mortalité qui concerne des sujets relativement jeunes.

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Section: Discussionunclassified

Létalité de l’insuffisance cardiaque au Centre Hospitalier Universitaire de Libreville (CHUL) et facteurs associés

Bivigou¹,

Allognon²,

Ndoume³

et al. 2018

Pan Afr Med J

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“…In the developed countries like France, the average age of deaths related to cardiovascular diseases (CVD) was 80 years [10]. World Health Organization (WHO) affirmed that nearly half of deaths related to CVD in the developing countries occurred before 70 years in 1990 [10]. The persistence of this status after more than two decades shows the failure of health policies conducted in such countries.…”

Section: Discussionmentioning

confidence: 99%

Cardiovascular Death in the Regional Hospital of Koudougou

Kologo¹,

Yaméogo²,

Bamouni³

et al. 2016

OALib

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Cardiovascular diseases actually are a real public health concern all over the world and more specifically in the developing countries. The aim of this study was to analyze the causes and factors associated to deaths due to cardiovascular diseases in medicine and medical emergencies departments at the Regional Hospital (RH) of Koudougou to contribute to treatment improvement. This study was a retrospective and descriptive study conducted over a period of 12 months from January 1st 2014 to December 31st, 2014. This study took place in medicine and medical emergencies departments within the Regional Hospital of Koudougou. We have recorded 282 deceased persons. We have selected 275 deceased persons according to our inclusion criteria. Deaths due to cardiovascular pathologies accounted for 73 cases corresponding to 26.55%. Sex ratio was estimated at 1.8. Patients' average age was estimated at 62 ± 17.6 years. Forty patients corresponding to 54.8% were referred and 80% of them came from health and social promotion centers. Strokes representing 32.8% were the hypotheses mentioned upon admission. State of shock represented 32.8% of the immediate causes of death. Sixty-four point four percent of patients had high blood pressure as the most frequent initial death cause (47 cases).Thirty five cases of premature deaths, corresponding to 47.9% were observed. Cardiovascular diseases are a real public health concern in our countries undergoing an epidemiological transition. Mortality related to these diseases in Koudougou RH has been widely dominated by high blood pressure. This mortality can be reduced through preventive actions meant for the population including a reorganization of health system and hospital services to improve care quality.

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“…In Africa, some studies on the salt intake among the population determined by the collection of urine in a day have proved that the average salt intake (ET) with African adults varied from 6.8 (2.2) g to 11,3 (5,4) g/day [13]. In Togo, despite the lack of data on sodium and potassium intake, the prevalence of high blood pressure (25-64 years: 19 % in 2014) [14] and the influence of cardiovascular diseases (MCV) on people's health [15,16] show that an assessment and a survey of salt and food intake and potassium is necessary for the prevention of MCV/MNT.…”

Section: Distorted Assessementmentioning

confidence: 99%

Dietary Sodium and Potassium Intakes and Salt Reduction Strategies: Systematic Review in Africa (2012-2022)

Kenao¹,

Jerôme²,

Paraiso³

et al. 2022

Int Arch Public Health Community Med

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Excessive salt/sodium (Sodium > 2 grams/day, equivalent to 5 g salt/day) and low potassium (less than 3.5 grams/day) intake increases the risk of heart attack and stroke. To fight against cardiovascular diseases, the nutritional strategy is to regulate the dietary intake of salt/sodium and potassium according to set standards.Objective: This review aimed at documenting salt intake levels and the potential impact of salt reduction initiatives in Africa, based on studies published between January 2012 and April 2022.Methods: These studies were obtained thanks to PubMed/ MEDLINE electronic data, Google Scholar and specialized literature. The PRISMA guidelines were used to conduct the systematic review. Results:The synthesis produced 583 articles of which 39 studies matched our inclusion criteria. Among these 39 studies, 24 (including 3 systematic reviews and one study) assessed the intake of salt/sodium and potassium from urine tests. Seven studies assessed the salt/sodium content in food and 7 other studies focused on the awareness, attitudes, beliefs and practices of populations with regard to salt intake. One study focused on modelling. Salt intake varied from one country to the other; all countries had an intake level beyond set standards (< 5g/d/p).In Benin, for instance, the intake level was 4.4 g/24 h of sodium and 1.8 g/24 h of potassium. In Ghana, the estimated salt intake was 8.3 g/day and 6.8 g/day in South Africa. The salt content assessed in food also differed from one country to the other. In Nigeria, for instance, the sodium content was 1.36 g per 100 g of bread while it was 7.63 g (SD 3.12) per 100 g of bread in Tunisia. In Morocco, it was 8 to 9 g of salt for 100g of bread while it was 6 g in South Africa.

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Morbidité et mortalité hospitalière des maladies cardiovasculaires en milieu tropical : exemple d’un centre hospitalier à Lomé (Togo)

Cited by 21 publications

References 10 publications

Létalité de l’insuffisance cardiaque au Centre Hospitalier Universitaire de Libreville (CHUL) et facteurs associés

Létalité de l’insuffisance cardiaque au Centre Hospitalier Universitaire de Libreville (CHUL) et facteurs associés

Cardiovascular Death in the Regional Hospital of Koudougou

Dietary Sodium and Potassium Intakes and Salt Reduction Strategies: Systematic Review in Africa (2012-2022)

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