The pattern of neurological diseases in elderly people in outpatient consultations in Sub-Saharan Africa.
The pattern of neurological diseases in elderly people in outpatient consultations in Sub-Saharan Africa.
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DOI：
10.1186/s13104-015-1116-x
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发表时间：
2015-04-17
影响因子：
1.8
通讯作者：
Maturin TT
中科院分区：
文献类型：
--
作者：
Callixte KT;Clet TB;Jacques D;Faustin Y;François DJ;Maturin TT
神经系统疾病在老年人中很常见，55岁及以上人群中有5%至55%受到影响。它们与不良健康结果的高风险相关，包括死亡、残疾、收容和住院。人们对发展中国家老年人神经系统疾病的流行病学和临床模式知之甚少。尽管许多研究已经证明了神经系统疾病负担所在的领域，但撒哈拉以南非洲的老年患者很少受到关注。我们进行了这项描述性研究，以了解喀麦隆神经科医生和老年医生所面临的疾病负担。2005年5月至2011年12月期间，所有门诊神经学会诊记录均在巴斯托斯诊所收集，该诊所是研究期间喀麦隆政治首都雅温得<s:1>唯一提供成人神经学会诊的诊所。所有的医疗记录都由神经科医生审查，并根据ICD-10对神经学诊断进行分类。912例患者中，60岁及以上患者187例（20.5%）。根据ICD-10的分类，18.7%的患者存在发作性和阵发性障碍，14.6%的患者存在锥体外系和运动障碍，13.3%的患者存在神经、神经根和神经丛障碍。在这项研究中，老年人最常见的神经系统疾病是腰椎关节病（14%）、痴呆（阿尔茨海默氏症型、血管性痴呆）（12.4%）、帕金森病（10.2%）和多神经病变（9.1%）。在撒哈拉以南非洲的老年患者中，痴呆症和帕金森病等退行性疾病以及中风和头痛是常见的神经系统疾病。重要的是，通常以公共卫生部为基础的标准治疗制度必须遵守这些疾病。
Neurological diseases are frequent in older adults, affecting between 5% and 55% of people age 55 and older. They are associated with a high risk for adverse health outcomes, including mortality, disability, institutionalization and hospitalization. Little is known about the epidemiology and clinical pattern of neurological disorders of the elderly in developing countries. Although many studies have demonstrated the areas where the burden of neurological diseases lies, elderly patients in Sub-Saharan Africa have received little attention. We performed this descriptive study to understand the burden of disease faced by Cameroonian neurologists and geriatricians. The records of all out-patient neurological consultations from May 2005 to December 2011 were collected at the Clinique Bastos, the sole clinic with adult neurological consultations during the study period in Yaoundé, the political capital of Cameroon. All medical records were reviewed by a neurologist and neurological diagnoses were classified according to ICD-10. Among a total of 912 patients, 187 (20.5%) were aged 60 and older. According to the ICD-10 classification, episodic and paroxysmal disorders were present in 18.7% of patients, extrapyramidal and movement disorders in 14.6%, and nerve, nerve root and plexus disorders in 13.3%. The most common neurological diseases of the elderly in this study were lumbar arthrosis (14%), dementia (Alzheimer’s type, vascular) (12.4%), Parkinson’s disease (10.2%), and polyneuropathy (9.1%). Degenerative diseases like dementia and Parkinson’s disease as well as strokes and headaches are frequently encountered neurological diseases in elderly patients in Sub-Saharan Africa. It is important that standard treatment regimes, often Ministry of Public Health based, are adhered to these diseases.