Profile Of Stroke In Nigerians: A Prospective Clinical Study

Komolafe, Morenikeji; Komolafe, EO; Fatoye, Francis; Adetiloye, Victor A.; Asaleye, C; Famurewa, O.; Mosaku, SK; Amusa, Y B

doi:10.4314/ajns.v26i1.7588

Cited by 15 publications

(25 citation statements)

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“…There was a preponderance of male in the ratio 3.5:1 in this study. This is similar to the findings of previous studies from Nigeria and other parts of the world 6,7,[15][16][17]18 . Almost all (95%) the participants in this study reported at least one sexual dysfunction.…”

Section: Discussionsupporting

confidence: 91%

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Sexual dysfunction in Nigerian stroke survivors

Akinpelu¹,

Osose²,

Odole³

et al. 2013

Afr H. Sci.

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Background: Over three-quarters of stroke survivors experience disruption of sexual functioning. Studies reporting poststroke sexual function of Nigerian patients are few. Objectives: This survey reports sexual dysfunction in Nigerian stroke survivors, and determines the influence of sociodemographic, clinical and psychological factors on the dysfunction. Methods: Participants were 77 stroke survivors (60 males; 17 females) recruited consecutively from a teaching hospital. Participants completed the Beck Depression Inventory, Stroke Specific Quality of Life Scale and post-stroke sexual function questionnaire. Participants' motor ability was rated on the Modified Motor Assessment Scale. Data were analysed using Chi square test and Mann-Whitney U test (alpha level set at 0.05). Results: Participants were aged 55.2±10.8 (28-79) years. Most (94.8%) participants reported a dysfunction in sexual function. Decline in libido and coital frequency were reported by >70% and in erection, ejaculation and orgasm by >60% of participants. Participants' with erectile dysfunction were significantly older than those without (U=267.0; p=0.02). Depression, quality of life, willingness to have sex, general attitude to sex and ability to express sexual feelings had significant influence on sexual dysfunction reported by participants (p<0.05). Conclusion: Our findings suggest that sexual dysfunction is common among Nigerian stroke survivors and it is mostly associated with psychological factors.

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Section: Discussionsupporting

confidence: 91%

“…The mean age of stroke survivors in the present study is slightly lower than the mean age of those in previous stroke studies from Nigeria, which ranged from 60.6±12.4years to 62±13years [15][16][17] . There was a preponderance of male in the ratio 3.5:1 in this study.…”

Section: Discussioncontrasting

confidence: 81%

Sexual dysfunction in Nigerian stroke survivors

Akinpelu¹,

Osose²,

Odole³

et al. 2013

Afr H. Sci.

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“…There were more men in this study making up 68.1% of the cases. Apart from the study by Kouna et al in Gabon [17], the masculin predominance of stroke is reported in other studies carried out in sub-Saharan Africa and elsewhere [12]- [14] [18]. This masculine predominance may be partly explained by the hormonal differences and lifestyle of men who tend to consume alcohol and tobacco more than women in our setting.…”

Section: Discussioncontrasting

confidence: 46%

“…These findings suggest the high level of tobacco consumption as a modifiable risk factor on which the sensitization of the population should be focused. Before stroke, 8.9% of the patients were known for dyslipidaemia and in the course of stroke, this prevalence rose to 13 [18]. In developed countries, the prevalence of atrial fibrillation in the course of constituted ischaemic stroke is estimated between 15% and 20% [15] [16].…”

Section: Discussionmentioning

confidence: 99%

“…Touré et al [23] reported a similar mortality in a sample of 314 patients including patients admitted in intensive neurology care. Komolafe et al [18] and Kouna et al [17] estimated the mortality rate at 15.6% and 9.5% respectively. The difference between these mortality rates compared to that in the current study as well as that in Touré report is probably due to the fact that these studies did not include severe cases of patients hospitalized in intensive care unit.…”

Section: Discussionmentioning

confidence: 99%

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Stroke Epidemiology in Douala: Three Years Prospective Study in a Teaching Hospital in Cameroon

Mapoure¹,

Kuate²,

Tchaleu³

et al. 2014

WJNS

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Background and Objectives: Cerebro-vascular accident or stroke constitutes a major challenge in sub-Saharan Africa. In Cameroon, basic epidemiologic data are not routinely available. Aims: The aim of this study was to determine the type, the associated risk factors, time to admission, the clinical presentation and the case fatality of stroke at the Douala General Hospital (DGH) in Cameroon. Methods: A cross-sectional study was performed from January 1, 2010 to December 31, 2012 at the neurology and intensive care units of the DGH. All patients above 15 years of age with a diagnosis of established stroke were enrolled. For each patient, socio-demographic, clinical and paraclinical data were recorded as well as the duration of hospitalization and the case fatality. Results: In all, 325 patients were enrolled with males constituting 68.1% and general mean age of 58.66 ± 13.6 years. The mean initial consultation delay was 47.36 ± 18.48 hours. The majors cerebro-vascular risk factors were hypertension (81.15%), chronic alcohol consumption (28.3%), diabetes mellitus (20.61%), obesity (18.15%), cigarette smoking (16%), dyslipidemia (8.9%) and atrial fibrillation (3.07%). Ischemic stroke accounted for 52% of cases while 48% were hemorrhagic. The mean duration of hospitalization was 8.58 ± 6.35 days with a case fatality rate of 26.8%. Septic conditions appeared to be the leading cause of death accounting for 35.6% of cases. Y. N. Mapoure et al. 407Conclusion: Stroke in the DGH is associated with a high case fatality rate and hypertension remains the number one risk factor. There is a clear and urgent need for public health authorities to reinforce measures for the control of modifiable stroke risk factors.

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Stroke care and outcomes in the Department of Neurology in Parakou, Benin: Retrospective cohort study

Adoukonou

Agbétou

Sowanou

et al. 2020

Annals of Medicine and Surgery

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Introduction Stroke is one of the most common causes of high mortality rates in Africa with many unknown aspects around its prognosis. In this study we aim to describe stroke characteristics and in-hospital mortality of stroke in Parakou. Methods This is a retrospective cohort study including all stroke patients admitted to the Department of Neurology at Parakou Teaching Hospital from January 1, 2013 through to December 31, 2019. Clinical data, vascular risk factors, stroke subtype and outcome data were recorded. The in-hospital case-fatality and its associated factors were determined. The study was approved by the Local Ethics Committee of Biomedical research and has been registered under the unique indentifying number researchregistry5687 and is available at https://www.researchregistry.com/browse-the-registry#home/ Results Stroke cases represented 51.5% of all patients. There were 372 patients included in the study with a mean age of 58.2 ± 14.2 years. The sex ratio was 1:3. Ischemic stroke accounted for 40.3%, intracerebral hemorrhage 30.4%, and unknown 29.3%. The main vascular risk factors were hypertension (69.1%), alcoholism (23.9%) and diabetes mellitus (16.9%). The mean NIHSS at admission was 9.4 ± 5.7 and the length of hospital stay was 9.0 ± 7.3. The most common complications recorded during the acute phase were swallowing disorders (10.2%), pneumonia (9.1%) and urinary tract infections (8.3%). The in-hospital case fatality was 6.2% and was associated with loss of consciousness (p = 0.0001), high NIHSS on admission (p = 0.001), fever (p = 0.0001), swallowing disorders (p = 0.001) and leukocytosis (p = 0.021). On discharge, 27.6% were independent and 97.8% were on antihypertensive drugs. Conclusion The in-hospital stroke mortality was close to that reported by other studies in Africa.

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Profile Of Stroke In Nigerians: A Prospective Clinical Study

Cited by 15 publications

References 0 publications

Sexual dysfunction in Nigerian stroke survivors

Sexual dysfunction in Nigerian stroke survivors

Stroke Epidemiology in Douala: Three Years Prospective Study in a Teaching Hospital in Cameroon

Stroke care and outcomes in the Department of Neurology in Parakou, Benin: Retrospective cohort study

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