TITLE:
Profile and Prognostic Factors of Stroke in Age Subjects in Bangui
AUTHORS:
Emmanuel Yangatimbi, Duval Lewis Grenaba, Josué Pierre Kinima, Larissa Kpengougna, Jacqueline Tchebemou, Pascal Mbelesso
KEYWORDS:
Profile, Prognosis, Stroke, Elderly, Central African Republic
JOURNAL NAME:
Neuroscience and Medicine,
Vol.14 No.4,
December
29,
2023
ABSTRACT: Introduction: The stroke is a real public health problem due to its frequency, its
severity, its residual physical and cognitive handicap and its financial cost for
society. Goal of the Study: To contribute to the
knowledge of these conditions in neurological practice in the Central African
Republic. Methodology: Analytical cross-sectional study which took place
over a period of 4 months from June 1 to September 30, 2020, in subjects
aged 55 and over hospitalized in the
Neurology department of the Friendship Sino University Hospital. Central
African woman for a stroke with a complete file. Results: During the
study, 118 patients were hospitalized in the department, including 24 cases of
stroke, for a hospital frequency of 20.33%. The average age was 67.1 years old and the male/female sex ratio was
1.6. Motor deficit and language disorder were the main reasons for consultation
(100%). Hypertension was the main risk factor (91.7%). Stroke was the most
predominant type of stroke (54.8%). Most of our patients (58.3%) were admitted
to healthcare facilities before 6 a.m. The
lethality was 25%. There was a statistically significant association
between the severity of hypertension and the type of stroke as well as the
patient’s condition at discharge. The NIHSS score and the KARNOFSKY score were
significantly related to the patient’s
condition at discharge. All the discharged patients presented with sequelae such as hemiparesis (75%)
and dysarthria (45.8%). Conclusion: Stroke is a serious, disabling pathology that
is increasingly common with the aging of the population. The creation of a
neurovascular unit and a rehabilitation unit could improve the prognosis
and course of stroke in our elderly patients.