Treatment Outcome and Its Determinants among Patients Admitted to Stroke Unit of Jimma University Medical Center, Southwest Ethiopia

Zewudie, Ameha; Regasa, Tolcha; Hambisa, Solomon; Nureye, Dejen; Mamo, Yitagesu; Aferu, Temesgen; Feyissa, Desalegn; Yosef, Tewodros

doi:10.1155/2020/8817948

Cited by 11 publications

(8 citation statements)

References 36 publications

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“…The most commonly prescribed medicines at HFSUH are statins (59.3%), antihypertensive therapy (57.9%), and aspirin (56.6%), The findings are consistent with research conducted in southwestern Ethiopia (Zewudie et al, 2020). However, these numbers are lower than that in a study conducted on the prescription pattern of drugs in stroke patients in India (Abbasi and Ali, 2012).…”

Section: Discussionsupporting

confidence: 83%

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Poor treatment outcomes and associated factors among hospitalized patients with stroke at Hiwot Fana Comprehensive Specialized Hospital, eastern Ethiopia

Ayele,

Molla,

Ahmed

et al. 2023

Front. Stroke

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BackgroundStroke is a significant health problem in both industrialized and developing nations. It is the world's second-leading cause of death worldwide. Stroke incidence, prevalence, and death rates have grown internationally, with low- and middle-income nations suffering the greatest proportion of the burden. Stroke is a leading cause of long-term physical impairment, affecting a person's quality of life, societal engagement, independence, emotions, and productivity.ObjectiveTo determine the magnitude and factors associated with poor treatment outcomes in hospitalized adult patients with stroke.MethodsA hospital-based cross-sectional study was conducted from January 2019 to June 2021 in stroke patients admitted to the Hiwot Fana Comprehensive Specialized Hospital. This study included 290 patient charts. Data were collected by reviewing the medical charts using a well-developed data abstraction form. Data were entered into Epi-Data version 3.2 and exported to SPSS version 25.0. Descriptive statistics were used to describe study variables. Additionally, bivariable and multivariable logistic regression analyses were used to identify factors associated with poor stroke treatment outcomes. All statistical tests were set at 5% of significant threshold.ResultsAmong 290 enrolled patients, 172 (59.3%) had poor stroke treatment outcomes. The mean age of the patients was 54.7(SD: ±16.1) years, and more than half 182 (62.8%) of the participants were males. The overall average length of hospital stays for stroke patients was 8 ± 3.3 days. Age of 45–64 years (adjusted odds ratio [AOR]: 2.17, 95% CI [1.06, 4.41]), aspiration pneumonia (AOR: 2.13, 95% CI [1.06, 4.26]), systolic blood pressure ≥ 140 mm Hg/dl (AOR: 2.35, 95% CI [1.24, 4.47]), Glasgow Coma Scale score of <8 (AOR: 7.26, 95% CI [3.82, 13.8]), and serum creatinine level of ≥1 mg/dl (AOR: 2.73, 95% CI [1.46, 5.10]) were significantly associated with poor treatment outcome in adult stroke patients.ConclusionSix out of ten stroke patients had poor treatment outcomes. Age between 45 and 65 years, uncontrolled hypertension, aspiration pneumonia, low Glasgow Coma Scale score at admission, and renal injury were identified as significantly associated with poor treatment outcomes in stroke patients.

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Section: Discussionsupporting

confidence: 83%

“…A good GCS assessment is described as mild brain injury/alert (GCS score of 13-15) or severe brain injury/drowsy (GCS score of 9-12). If the patient has serious brain injury/unconsciousness, a GCS score ≤8 is considered poor (Zewudie et al, 2020). For this study purpose, we classified GCS scores in two groups: <8 and >8.…”

Section: Operational Definitionsmentioning

confidence: 99%

Poor treatment outcomes and associated factors among hospitalized patients with stroke at Hiwot Fana Comprehensive Specialized Hospital, eastern Ethiopia

Ayele,

Molla,

Ahmed

et al. 2023

Front. Stroke

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“…A prospective study also reported 57.1% incidence of ischemic and 34.5% hemorrhagic stroke in Ethiopia [ 10 ]. Studies have shown that about two-thirds of hospitalized stroke patients in this country have poor treatment outcomes [ 11 ] and 18% die during hospitalization [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

Knowledge of stroke risk factors and warning symptoms among adults with type 2 diabetes in Addis Ababa, Ethiopia, 2021: an institution-Based cross-sectional study

Getu

Aga

Badada

et al. 2023

BMC Cardiovasc Disord

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Background Stroke is a global public health concern with type 2 diabetes being one of the common risk factors. Knowledge of stroke risk factors and warning symptoms among type 2 diabetes patients is largely unknown in developing countries like Ethiopia. The inability to recognize stroke warning symptoms accurately is an important cause of delay in seeking medical attention. We investigated knowledge of stroke risk factors and warning symptoms among adults with type 2 diabetes and the factors associated with these variables. Methods This was an institution-based cross-sectional study. We enrolled 470 adult type 2 diabetes patients using a systematic random sampling method from four government-managed hospitals in Addis Ababa from 1 to 30 February 2021. The Stroke Recognition Questionnaire was adapted to measure the knowledge of stroke risk factors and warning symptoms. Sociodemographic characteristics, source of information, and reaction to stroke were also measured. Data were analyzed using SPSS version 25 and linear regression analysis was used to determine factors independently associated with knowledge of stroke risk factors and warning symptoms. Result The mean age of the participants was 50.6 ± 12.9 years. The mean score of knowledge of stroke risk factors and warning symptoms was 67.2% and 63.9%, respectively. Higher educational level (B = 2.007, 95% CI = 1.101, 2.914, P < 0.001), knowing someone diagnosed with stroke (B = 3.328, 95% CI = 2.734, 3.922, P < 0.001), and living with others (B = 2.28, 95% CI = 1.606, 2.954, P < 0.001) were independently associated with knowledge of stroke risk factors. Younger age (B = − 0.021, 95% CI= -0.038, 0.005, P = 0.01), higher educational level (B = 1.873, 95% CI = 1.017, 2.730, P < 0.001), and knowing someone diagnosed with stroke (B = 3.64, 95% CI = 3.079, 4.200, P < 0.001) were independently associated with knowledge of warning symptoms of stroke. Conclusion The mean score of knowledge of stroke risk factors and warning symptoms was 67.2% and 63.9%, respectively. Younger age, higher educational level, and living with other people are predictors of better knowledge of stroke risk factors and warning symptoms in this study. Future educational interventions should target type 2 diabetes adults with advancing age and the involvement of their family members.

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“…However, the mortality and morbidity rates of stroke are still high. The outcome of stroke treatment depends on the speed of receiving appropriate treatment, which includes the time to receive intravenous thrombolysis or mechanical thrombectomy in ischemic stroke [2,3], or emergency surgery in hemorrhagic stroke [4]. Delayed prehospital time is an important factor that in uences treatment outcome in stroke [5].…”

Section: Introductionmentioning

confidence: 99%

Knowledge and attitude toward stroke among the population of one rural community in southern Thailand

Wanichanon

Ananchaisarp

Buathong

et al. 2023

Preprint

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Background Prior knowledge of stroke is associated with decreased prehospital delay in acute stroke events. Knowledge and attitude toward stroke vary in each country. This study was conducted to evaluate attitude and knowledge of stroke in a rural community in southern Thailand.Methods A survey was conducted among people living in Koh Mak Distinct, Phatthalung Province, Thailand. Univariable analysis was tested by Chi-square, Fisher's exact, Rank sum or Kruskal-Wallis test. Linear and logistic regression were used to determine factors associated with the knowledge score and level of attitude toward stroke.Results Among 247 participants, most were Muslim and the median age was 54.0 years. The median (Q1, Q3) score of stroke risk factors was 5 (2, 7) (full score: 9). Participants who knew about stroke, had an acquaintance diagnosed with stroke, and had a high level of attitude had significantly higher scores. Two-thirds of the participants had a low-to-moderate level of attitude. Furthermore, most high-risk participants (99/113) had a low to no chance awareness of their risk to stroke. The median (Q1, Q3) score of stroke warning symptoms was 6 (3, 7) (full score: 10). The participants who had received education via the Face Arm Speech Time (FAST) campaign demonstrated a significantly higher proportion of correct answers to the symptoms mentioned in the FAST acronym.Conclusion Most participants in this community had insufficient knowledge, low-to-moderate level of attitude, and underestimated their risk to stroke even in the high cardiovascular risk participants. The FAST acronym may help people memorize the typical warning symptoms of stroke.

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Treatment Outcome and Its Determinants among Patients Admitted to Stroke Unit of Jimma University Medical Center, Southwest Ethiopia

Cited by 11 publications

References 36 publications

Poor treatment outcomes and associated factors among hospitalized patients with stroke at Hiwot Fana Comprehensive Specialized Hospital, eastern Ethiopia

Poor treatment outcomes and associated factors among hospitalized patients with stroke at Hiwot Fana Comprehensive Specialized Hospital, eastern Ethiopia

Knowledge of stroke risk factors and warning symptoms among adults with type 2 diabetes in Addis Ababa, Ethiopia, 2021: an institution-Based cross-sectional study

Knowledge and attitude toward stroke among the population of one rural community in southern Thailand

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