Rates and Predictors of Stroke-Associated Case Fatality in Black Central African Patients : Cardiovascular Topics
Cardiovasc. j. Afr. (Online)
;
19(2): 72-76, 2008.
Artigo
em Inglês
| AIM
| ID: biblio-1260372
ABSTRACT
Objective:
To identify case fatality rates and predictors of stroke in a private clinic in Kinshasa; Democratic Republic of Congo.Methods:
Two hundred and twelve black Africans were consecutively admitted to a clinic and prospectively assessed during the first 30 days by CT scan-proven stroke types and outcome. univariate and multivariate analyses were used to estimate the in-hospital mortality risk for the following baseline characteristics age; gender; education; arterial hypertension; diabetes; stroke types; leukocyte count; and haematocrit; blood glucose; uric acid; fibrinogen and total cholesterol levels.Results:
Haemorrhagic and ischaemic strokes were present in 52 and 48of the study population; respectively; and 44of all stroke type patients; 29of haemorrhagic stroke and 31of ischaemic stroke patients died. Compared to the survivors; deceased patients were significantly (p 0.001) older with higher leukocyte counts and haematocrit; haemoglobin and fibrinogen levels; but lower glycaemic levels. The variable significantly associated with all stroke type mortalities in the multivariate model was ischaemic stroke (HR Ci = 4.8-8.2 for tertile 3 and RR = 12.9; 95Ci = 7.8-18.4 for tertile 4; p 0.001) and higher glycaemia (RR Ci = 1.4-5.7 for tertile 3 and RR = 6.7; 95Ci = 5.2-9.2 for tertile 4; p 0.001).Conclusion:
We have shown that all acute stroke types remain a deadly nosological entity; and ischaemic stroke; baseline haematocrit and fibrinogen levels; and dependency on others' care were significantly associated with all stroke mortalities. Moreover; hyperfibrinogaemia and hyperglycaemia were the significant predictors of case fatality in ischaemic stroke patients. in Africa; the top priority for resource allocation for stroke services should go to the primary prevention of stroke
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Índice:
AIM (África)
Assunto principal:
Pacientes
/
Fatores de Risco
/
Causas de Morte
/
Acidente Vascular Cerebral
/
Hospitais
Tipo de estudo:
Estudo de etiologia
/
Estudo prognóstico
/
Fatores de risco
Idioma:
Inglês
Revista:
Cardiovasc. j. Afr. (Online)
Ano de publicação:
2008
Tipo de documento:
Artigo
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