TITLE:
Short, Medium, and Long-Term Stroke Mortality in Libreville and Associated Factors
AUTHORS:
Grass Aurelle Mambila Matsalou, Jennifer Nyangui Mapaga, Pupchen M. Gnigone, Minka’a Pagbe Michael, Chermine Mboumba Mboumba, Christian Allognon Mahutondji, Aissata Ibrahima Camara, Annick A. Nsounda, Nelly Diouf Mbourou, Michel-Arnaud Saphou-Damon, Elsa Ayo Bivigou, Philomene Kouna Ndouongo
KEYWORDS:
Stroke, Mortality, Associated Factors, Libreville
JOURNAL NAME:
Neuroscience and Medicine,
Vol.15 No.1,
February
7,
2024
ABSTRACT: Strokes are common around the world and especially in
sub-Saharan Africa. They are responsible for severe sequelae and the majority
of deaths. In Gabon, no study on stroke mortality has been conducted. Objective: To determine short, medium,
long-term mortality and factors associated with long-term stroke mortality. Method: Our study took
place in the Neurology Department of the University Hospital Center of
Libreville (UHCL). It was a historical cohort study with descriptive and
analytical purposes covering the period from June 1 to August 31, 2018 and
taking into account hospitalized patients from January 1, 2013 to December 31,
2017. We
conducted a comprehensive systematic recruitment of patients with stroke, 18
years old and more, and had been
agreed to give information. We included
all patients meeting the inclusion criteria. The data was gathered using
Epi-Info 7 software. The CHI-2 test was used for the comparison of frequencies
and the Student’s test, for comparison of means. Multivariate analysis with
logistic regression allowed us to look for factors associated with long-term
mortality. A result was statistically significant for a p 0.05 value. Results: At 3 months, 28
patients (18.1%) died, at 6 months thirty-one patients or 20.1% died. At 5
years old, fifty-three patients or 34.4% had died. The factors associated with
long-term mortality, if the lost of sight were all alive were tobacco (p = 0.01) and stroke (p = 0.008). If all those who were lost to sight had died, no factor was
associated with 5-year mortality. Conclusion: Stroke mortality
must not be taken for granted, it can be underestimated because of the large
number of lost sight. Measures must be put in place to strengthen post-stroke
monitoring.