Stroke: Prevalence and Disability in Cotonou, Benin
Stroke: Prevalence and Disability in Cotonou, Benin
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DOI：
10.1159/000334195
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发表时间：
2012-01-01
影响因子：
2.9
通讯作者：
Houinato, Dismand
中科院分区：
文献类型：
--
作者：
Cossi, Marie-Joeelle;Gobron, Claire;Houinato, Dismand
背景资料：目前对撒哈拉以南非洲地区中风的负担知之甚少，而随着人口和社会经济转型，中风的负担可能会增加。本研究旨在评估贝宁科托努城市挨家挨户调查中中风的患病率、相关残疾率和日常生活质量的后果。方法：在科托努的两个地区进行了一项三阶段的挨家挨户的研究，这些地区的社会经济收入范围很广。对15 155名年龄≥ 15岁的人进行了评价。第一阶段包括使用改良的WHO问卷在人群中筛查卒中，第二阶段包括对所有疑似病例进行医学评估，第三阶段通过CT扫描评估确认卒中诊断。结果：在15，155名受试者中，321例被确定为可能的卒中病例。确诊70例。因此，卒中的粗患病率估计为4.6/1，000（根据WHO和SEGI世界人群调整为8.7/1，000和7.7/1，000）。患者发病时的平均年龄为56 ± 13岁。60%的脑卒中幸存者的兰金评分>= 2，其中90.0%的患者CT扫描发现异常。结论：科托努城市地区的中风患病率高于其他撒哈拉以南国家，大多数中风幸存者在日常生活中功能恢复良好，没有严重残疾。版权所有（C）2012 S. Karger AG，巴塞尔
Background: Little is known about the burden of stroke in sub-Saharan Africa that may increase with the ongoing demographic and socioeconomic transition. This study aims to assess the prevalence of stroke, its related disability rate and consequences in the quality of daily life in an urban door-to-door survey in Cotonou, Benin. Methods: A three-phase door-to-door study was performed in two districts of Cotonou with a broad range of socioeconomic income. A population of 15,155 individuals aged >= 15 years was evaluated. The first phase consisted in screening of stroke in the population using the modified WHO questionnaire, the second phase included the medical evaluation of all suspected cases, and in the third phase the diagnosis of stroke was confirmed by CT scan evaluation. Results: Out of 15,155 subjects, 321 cases were identified as possible stroke cases. The diagnosis was confirmed in 70 cases. The crude prevalence of stroke was thus estimated to be 4.6/ 1,000 (8.7/1,000 and 7.7/1,000 adjusted to the WHO and SEGI World Population). The mean age of the patients at onset was 56 +/- 13 years. Sixty percent of stroke survivors had a Rankin score >= 2, and CT scan was found abnormal in 90.0% of them. Conclusion: The stroke prevalence in urban areas of Cotonou is higher than that reported in other sub-Saharan countries, and the majority of stroke survivors present with good functional recovery and without severe disability in their everyday life. Copyright (C) 2012 S. Karger AG, Basel