TITLE:
Epidemioclinical and Progressive Aspects of the Adult Hemorrhagic Stroke in Bangui
AUTHORS:
Emmanuel Yangatimbi, Junior Koma Zobanga, Symphorien Shansy Grégbia, Josué Kinima, Pascal Mbelesso
KEYWORDS:
Epidemiology, AVCH, Elderly, Central African Republic
JOURNAL NAME:
Neuroscience and Medicine,
Vol.11 No.3,
September
11,
2020
ABSTRACT:
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.