TITLE:
Characteristics of Stroke in Obese and Overweight People at the Neurology Department of the Ignace Deen National Hospital
AUTHORS:
Touré Laila, Touré Mohamed Lamine, Sacko Aboubacar Sidiki, Camara Mamady, Camara Koudalaye, Camara Baki Dominique Bathoumla, Sall Alhassane, Lamah Eugene, Diallo Mamadou Lamarana, Dore Male, Bamba Fanta, Camara Alpha, Soumah Cheick Ousmane, Diallo Souleymane M’bara, Camara Idrissa Aissatou, Cissé Fodé Abass
KEYWORDS:
Stroke, Obesity, NIHSS
JOURNAL NAME:
Voice of the Publisher,
Vol.10 No.3,
August
7,
2024
ABSTRACT: Introduction: Obesity is a set of disorders that exposes the subject to an increased risk of occurrence of cardiovascular disease. This study aimed to evaluate the epidemiological and clinical aspects of obese patients with stroke in the neurology department of the Ignace Deen National Hospital. Material and Methods: We conducted a prospective study of the descriptive type lasting 6 months from 08/01/2021 to 02/28/2022. The study focused on patients hospitalized for CT confirmed stroke and having a BMI > 25 or a waist circumference > 88 cm for women and >108 cm for men confirmed at the neurology department of the Ignace Deen National Hospital during the study period and who agreed to participate in the study. Our variables were qualitative and quantitative. Results: Out of 212 (76.2%) cases of stroke, we recorded 118 cases of obese patients, i.e. 55.6%. The stroke was of the ischemic type in 78.81% of cases. There was a female predominance with a sex ratio of 0.94. The average age of our patients was 61.15 ± 12.6 years. The mean NIHSS score at admission was 10.13 ± 3.34 (range: 3 and 20); the stroke was of the ischemic type in 78.8% of cardioemboligenic origin. The most frequent type of obesity was abdominal obesity with 70%, according to the anxiety scale 53.3% had anxiety rated at 8 to 10. The average modified Rankin Score (mRS) at admission was 3.8 ± 0.7 (Extreme: 1 and 5), 89 patients (74.4%) had a moderately severe disability (mRS = 4). Conclusion: Obesity is a major public health problem and greatly increases the risk of stroke. In our study, it is common in women with a predominance of ischemic stroke. Emphasis should be placed on prevention and health education to avoid complications.