Abstract
Stroke is one of the leading causes of death, disability, and dementia in developing countries. Our study aimed to evaluate the systemic disorders associated with mortality in patients admitted within 72 hours of the initial stroke event. The study took place at a tertiary hospital in Kinshasa. Patients admitted within 72 hours of the initial stroke event. This cross-sectional study consisted of a retrospective review of stroke patient records from January 2016 to December 2018. The Pearson-Chi square test and odds ratios were calculated with a threshold of significance of 0.05. Mortality. We recruited 114 cases. The mean age was 61.8 ± 2.4 years, and the sex ratio was 1.78 in favor of men. Hypertension (76.3%), dyslipidemia (71.1%), and diabetes mellitus (58.8%) were the most frequent comorbidities. Most patients had hypoxia (85.9%), hypertension (82.4%), hyperglycemia (57.8%), and fever (28.1%). We registered thirty-two deaths (28.1%): 20 (62.5%) from the ischemic strokes, and 12 (37.5%) from hemorrhagic strokes. Systemic disorders with the worst prognosis during were arterial hypotension (OR=3.87, p >0.001), and fever (OR =1.56, p = 0.047). Arterial hypotension and fever adversely affect stroke patient outcomes, and strokes are responsible for high mortality in Congo. Not applicable.
Highlights
In 2017, strokes killed 6.2 million individuals worldwide; 87% of these deaths were registered in low and middleincome countries.[1]
The fastest increase has been in the Democratic Republic of Congo (DRC), where the percentage change in incidence over 20 years is 27.8%
This study aims to identify the systemic disorders associated with mortality among patients admitted within 72 hours of the initial stroke event
Summary
In 2017, strokes killed 6.2 million individuals worldwide; 87% of these deaths were registered in low and middleincome countries.[1] The number of stroke cases in Africa has risen over the past three decades.[2,3,4] There are more than 500.000 new stroke cases and 2 million stroke survivors in Africa.[2] The fastest increase has been in the Democratic Republic of Congo (DRC), where the percentage change in incidence over 20 years is 27.8%.5. Strokes adversely affect the health of both female and male, young and old adults in DRC. They are responsible for 1.45% of total DALYs in the 15-49 age group and 6.57% of total DALYs in the 50-69 age group.[6]
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