Stroke admission and case-fatality in an urban medical unit in sub-Saharan Africa: A fourteen year trend study from 1999 to 2012
Stroke admission and case-fatality in an urban medical unit in sub-Saharan Africa: A fourteen year trend study from 1999 to 2012
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DOI：
10.1016/j.jns.2015.02.002
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发表时间：
2015-03-15
影响因子：
4.4
通讯作者：
Kengne, Andre Pascal
中科院分区：
文献类型：
--
作者：
Lekoubou, Alain;Nkoke, Clovis;Kengne, Andre Pascal
背景：在非洲人口风险状况迅速恶化的背景下，有关最近中风趋势的数据非常有限。我们调查了一家主要转诊医院在Cameroon.Methods：入院和出院登记，并在1999年至2012年期间的雅温得中心医院的医疗部门的患者档案的中风入院的趋势，并在住院期间的结果进行了审查。随着时间的推移，病死率和危险因素的轨迹进行了评估，调整混杂因素使用logistic回归models.Results：在研究期间登记的28,239医疗入院，1688（6.0%）是由于中风。总体而言，这一比例从1999-2000年的2.5%到2011-2012年的13.1%不等，男女比例相似。平均年龄、饮酒量和卒中史各年不同（所有p
Background: Data on recent stroke trends in the context of rapidly deteriorating risk profile of populations within Africa is very limited. We investigated the admission trend for stroke and related outcomes in a major referral hospital in Cameroon.Methods: Admission and discharge registries, and patient files for the period 1999-2012 of the medical department of the Yaounde Central Hospital were reviewed for evidence of admission for stroke, and outcomes during hospitalization. Trajectories of case-fatality and risk factors over time were assessed, with adjustment for con-founders using logistic regression models.Results: Of the 28,239 medical admissions registered during the study period, 1688 (6.0%) were due to stroke. This proportion ranged from 2.5% in 1999-2000 to 13.1% in 2011-2012 overall and similarly in men and women. Mean age, alcohol consumption and history of stroke varied across years (all p