TITLE:
Stroke after Hospitalization: Assessment of Functional Prognosis through Disability and Dependency in CNHU-HKM, Cotonou, Benin
AUTHORS:
Dieu Donné Gnonlonfoun, Paul Macaire Ossou-Nguiet, Lansana Laho Diallo, Constant Adjien, Isaac Avlessi, Octave Houannou, Gérald Goudjinou, Jocelyn Acakpo, Dismand Houinato, Dossou Gilbert Avode
KEYWORDS:
Prognosis, Functional, Stroke, Rankin, Barthel, Cotonou, Benin
JOURNAL NAME:
Neuroscience and Medicine,
Vol.5 No.3,
June
26,
2014
ABSTRACT: Introduction:
Stroke results in severe disability, with impacts that are sometimes socially,
emotionally or professionally dramatic and also dramatic for the cost
involved in care and treatment. Objective: Assessing the functional prognosis
after hospitalization and identifying associated factors. Method: It
consisted in a cross-sectional, prospective, descriptive and analytical study
that was conducted from April 1 to August 31, 2013 in the Neurology Department
of CNHU-HKM in Cotonou. It involved 100 patients who have known stroke for at least 6 months and were all admitted and
discharged later on. The disease survivors
were re-contacted and examined again at home or at hospital. Disability and
dependency were then measured respectively with the Rankin score and Barthel
index. The STATA/IC11.0 statistical software was used as the basis for data
analysis. Unvaried and multi-varied analyzes helped to identify associated
factors. Results: The overall disability and dependency rates were respectively
69% and 57.7%. And the highest rate of disability (38.8%) was observed between
50 and 60 years old. However, dependency prevalence was higher in subjects
above 70 years old (37.3%). Regarding gender, the prevalence of disability was
59.2% in men and rather 41.5% in women. Predictors of disability and dependency
were paralysis on admission (IC95% = 0.26 [0.77 - 0.92]; p = 0.036), obesity (IC95% = 0.26 [0.77 - 0.92]; p = 0.012) and
monthly income lower than 70$US (IC95% = 0.05 [0.01 - 0.56]; p = 0.015). Conclusion:
This study enabled us to assess the
functional outcome of patients once discharged. The significance of motor deficit
on stroke occurrence, obesity and the low monthly income were factors of poor
functional prognosis.