Survie des accidents vasculaires cérébraux comateux à Dakar (Sénégal)

Diouf, Fatou; Mapoure, Njankouo Yacouba; Ngahane, Hugo Bertrand Mbatchou; Touré, Kamadore; Thiam, Alioune Badara; Mboup, B.; Diop, Amadou Gallo; Ndiaye, M.; Ip, Ndiaye

doi:10.1016/j.neurol.2008.01.007

Cited by 13 publications

(5 citation statements)

References 15 publications

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“…We found that this mortality was significantly correlated with the disturbance of the state of consciousness (p = 0.007). Our result is similar to the studies carried out in Dakar [13] [29] which confirmed that in general comatose strokes and in particular AVCH have a poor prognosis (82.9%). The main sequelae were hemiparesis (75%) and aphasia (25%), respectively.…”

Section: Discussionsupporting

confidence: 92%

Epidemioclinical and Progressive Aspects of the Adult Hemorrhagic Stroke in Bangui

Yangatimbi¹,

Zobanga²,

Grégbia³

et al. 2020

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Introduction: Hemorrhagic strokes in the elderly constitute a diagnostic and therapeutic emergency and, by their frequency and severity, determine a public health problem. Goal of the Study: To elucidate knowledge and make our contribution to the study of this pathology (describe the epidemioclinical and evolutionary aspects of hemorrhagic cerebrovascular accidents in adults in Bangui). Methodology: It was a retrospective study with descriptive and analytical aims covering a period of two years (2) from January 2017 to December 2018, conducted in the Neurology department of the Sino-Central African Friendship University Hospital. Results: During the study, 255 patients were hospitalized for stroke, including 20 cases of AVCH, representing a hospital frequency of 7.8%. The average age was 60.05 years with extremes ranging from 50 to 78 years. The most represented age group was that of 50 to 60 years with a sex-ratio (M/F) of 1.2. Civil servants were more represented (35%) followed by housewives (25%). Alcohol was the main risk factor (95%) followed by hypertension (80%) and tobacco (40%). Most of the patients (75%) were admitted to the care facilities before 6 am (75%). Lethality was 35%. There was a significant statistical link between the Glasgow score and death (p = 0.007). In this series, 75% of the cases had sequelae dominated by hemiparesis (75%) and aphasia (25%). Conclusion: First study in the Central African Republic, with a high frequency, shows that the AVCH of the elderly poses a public health problem. Requires great mass awareness in order to reduce its mortality rate.

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Section: Discussionsupporting

confidence: 92%

Epidemioclinical and Progressive Aspects of the Adult Hemorrhagic Stroke in Bangui

Yangatimbi¹,

Zobanga²,

Grégbia³

et al. 2020

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“…So, for Prudhomme, above 8 (OSSI > 8) survival rate declines. The higher OSSI is the higher mortality is [20]. The existence of pupillary abnormality was a poor prognostic factor as noted in literature.…”

Section: Evolution and Prognostic Datamentioning

confidence: 57%

Prognostic Factors of Comas in the Intensive Care Unit of the University Teaching Hospital of Parakou (Benin)

Adélin¹,

Armel²,

Eugene³

et al. 2015

JBBS

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Background: Coma is a highly frequent situation associated with several diseases. Objective: That is to assess the prognostic factors of comas at the intensive care unit of the university teaching hospital of Parakou. Patients and Methods: It is a cross-sectional study with descriptive and analytical purpose based on prospective gathering of data. It has been performed from March 1 to July 31, 2014. The population study consists of 100 adult patients admitted to the intensive care unit for coma. The vital and functional prognosis data are studied. Results: The admission frequency of comatose patients to the intensive care unit is 44.4%. Patients' mean age is 27 ± 13.9 years with extremes of 16 and 88 years. The average length of stay in the intensive care unit is 5.2 ± 5.6 days with extremes of 2 hours 30 minutes and 30 days. Mortality rate is 30%. Poor prognostic factors are: average Glasgow score of 6.8 ± 2.9 (p = 0.01), average outpatient simplified severity index (OSSI) of 9.1 ± 3.5 (p = 0.02), pupillary abnormality (p = 0.00), motor weakness (p = 0.00), average glycemia of 1.5 ± 0.82 g/L (p = 0.02), average systolic blood pressure of 130.9 ± 44.5 mm Hg (p = 0.03), average diastolic blood pressure of 80.8 ± 22.3 mm Hg (p = 0.03), average respiratory rate of 30.9 ± 10.6 cycles/min (p = 0.03) and average temperature of 37.8˚C ± 1.2˚C (p = 0.03). Conclusion: Coma is a pathological entity with high frequency in clinical medicine. Its positive diagnosis is easy, * Corresponding author. but etiological research is hard. Hospital mortality is high and influenced by several factors. Taking into account, those factors in care strategies can improve their prognosis.

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“…Concernant la durée du séjour, une part importante des patients (39,3%), avait passé un court séjour dans les centres soit moins de 5 jours d'hospitalisation. Ces résultats sont nettement inférieurs (0,75 fois) à ceux de Sène Diouf et al (2008) qui rapportaient que la durée moyenne du séjour en neuro-réanimation à Dakar était de 10,8 ± 11 jours. Ce bref séjour dans les centres de soins était marqué par une fréquence élevée de décès (60%), témoignant la faiblesse de la prise en charge précoce.…”

Section: Discussionunclassified

“…La majorité des patients était décédée soit un taux de létalité de 57,4%. Sène Diouf et al (2008) au Sénégal avaient trouvé une mortalité 1,5 fois plus élevée soit 82,9 %. Par contre, Keita et al (2005), avaient trouvé une mortalité sensiblement inférieure de 45,7%.…”

Section: Discussionunclassified

Profil Évolutif Des Accidents Vasculaires Cérébraux Hémorragiques À Yaoundé (Hôpital Général& Centre Hospitalier Et Universitaire)

Ateba

Ndié

Likeng³

et al. 2016

ESJ

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Nowadays, strokes constitute a real public health problem in the world. In Cameroon, because of the people’s lifestyle potential risk factor, the prevalence of hemorrhagic strokes as well as its mortality is on the rise. This study was aimed at analyzing the evolutionary profile of hemorrhagic strokes at the General Hospital and the University Teaching Hospital in Yaoundé. A retrospective cross-sectional study with a qualitative component was carried out at the General Hospital and the University Teaching Hospital in Yaoundé for 2 months. Were included, all patients with a diagnosis of hemorrhagic strokes confirmed by CT Scan. With the help of a scale, patient data over a 30 month’s period (2013-2015) were collected. Over 1037 patients hospitalized in intensive care unit at the General Hospital and the University Teaching Hospital in Yaoundé, 122 cases of hemorrhagic strokes were diagnosed, that is a prevalence of 11.8%. The average age was 58±10.52 and the most vulnerable age range was between 50 and 70 years with 67.2%. Men were most affected (60.7%) with a sex ratio of 1.54(74 men/48 women). Among these cases of hemorrhagic strokes still hospitalized, 70 had died giving a lethality rate of 57.4%. Only the duration of hospitalization had an effect on the outcome of patients with hemorrhagic strokes. Actually the patients, victims of hemorrhagic strokes who had had less than 21 days of hospitalization, had 2.91 chances of dying as compared to those patients hospitalized for over 21 days (OR=2.91 IC 95% [5.1-65.7]; p=0.000). The late admission to reanimation, the difficulties encountered by victims of hemorrhagic strokes and their careers, to handle the enormous cost of their treatment and the insufficiencies of the technical platform, were factors also influencing the evolution of hemorrhagic strokes hospitalized in reanimation at the General Hospital and the University Teaching Hospital in Yaoundé. Despite certain efforts aimed at reducing premature mortality, the prevalence of hemorrhagic strokes was increasing in reanimation at the General Hospital and University Teaching Hospital in Yaoundé. Only multisectorial actions of sensitization, the restructuring and amelioration of the care of this ailment will help reverse the evolutionary trend.

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Survie des accidents vasculaires cérébraux comateux à Dakar (Sénégal)

Cited by 13 publications

References 15 publications

Epidemioclinical and Progressive Aspects of the Adult Hemorrhagic Stroke in Bangui

Epidemioclinical and Progressive Aspects of the Adult Hemorrhagic Stroke in Bangui

Prognostic Factors of Comas in the Intensive Care Unit of the University Teaching Hospital of Parakou (Benin)

Profil Évolutif Des Accidents Vasculaires Cérébraux Hémorragiques À Yaoundé (Hôpital Général& Centre Hospitalier Et Universitaire)

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