Stroke mortality and its predictors in a Nigerian teaching hospital

Abstract

Background: Stroke is the third leading cause of death worldwide. Stroke mortality has been noted to be higher in blacks in biracial studies. There have been few studies on stroke mortality and its predictors in Nigeria. This study examines mortality of stroke and its predictors in a Northern Nigerian teaching hospital. Methods: This was a prospective study that was carried out at Jos University Teaching Hospital in Nigeria. One hundred and twenty stroke patients admitted into the medical wards within one year were assessed. Demographic data was recorded. Patients were examined and ancillary investigations were carried out. The deaths and predictors were recorded. Multivariate logistic regression was used to identify independent predictors of mortality. Results: There were one hundred and twenty participants. Forty two (35%), patients died. Most (76.2%) deaths occurred within the first week. Predictors of mortality on univariate analysis were age ≥ 60 years, male sex, loss of consciousness, high NIHSS score (≥16), the presence of co-morbid conditions and presence of complications. On multivariate analysis, the predictors of mortality were the presence of co-morbid conditions, GCS<10 and high NIHSS score. Conclusion: Stroke mortality was quite high in this study. Predictors of mortality were the indices of severity and the presence of co-morbid conditions.

Stroke Clinical Patterns of Stroke in Lahore General Hospital, a Tertiary Care Center

“…Mortality was negligible in conscious patients. It was different from the what was documented by Daneshfard et al 1 and Ekeh et al 17 in their studies. Although mortality was high in comatosed patients and despite being less in number, there were good number of patients in the conscious patients with mortality.…”

Impact of Diabetes on Complications, Long Term Mortality and Recurrence in 608,890 Hospitalised Patients with Stroke

“…The long-term mortality analyses were adjusted for age, sex, comorbidities and recurrent stroke. In order to reduce the bias due to the selection of covariates, the ones included in the models were chosen based on previous literature [2,[14][15][16][17][18][19].…”

Awareness of stroke warning signs among individuals diagnosed with hypertension and diabetes in Nigeria

“…Hypertension and diabetes are two of the most common risk factors for stroke and hypertension appears to result in stroke at a higher rate in developing countries when compared to developed countries (12). With the astronomical rise in the prevalence of hypertension and diabetes in recent years in many developing countries including Nigeria (10)(11), the projections regarding the rise in the prevalence of stroke in the developing world can be justified (3). This study therefore investigated awareness of stroke warning signs among a cohort of individuals diagnosed with hypertension and/or diabetes in Nigeria, the most populous country on the African continent.…”