[达喀尔某神经科昏迷中风患者的生存情况]
[Survival of comatose stroke victims in a neurological department in Dakar].
作者信息
Sène Diouf F, Mapoure N Y, Ndiaye M, Mbatchou Ngahane H B, Touré K, Thiam A, Mboup B, Diop A G, Ndiaye M M, Ndiaye I P
机构信息
Service de neurologie, CHU de Fann, B.P. 5035, Dakar, Sénégal.
出版信息
Rev Neurol (Paris). 2008 May;164(5):452-8. doi: 10.1016/j.neurol.2008.01.007. Epub 2008 Apr 3.
BACKGROUND
In Dakar, stroke is the most frequent neurological disease with the highest mortality. Victims may present in a critical state of coma. The objective of this study was to evaluate survival among comatose stroke patients in Dakar, Senegal.
METHODS
This was a longitudinal prospective study from April 2006 to July 2007 conducted in the Neurological Intensive Care Unit (NICU) of Fann University Teaching Hospital in Senegal. Were included in the study, all stroke patients confirmed by CT scan with a Glasgow coma score less than or equal to 8/15. Patients with subarachnoid hemorrhage were excluded.
RESULTS
A total of 105 patients were evaluated with 54 cases of ischemic stroke among them. The mean age was 61.87+/-14.16 years. The mean duration of hospital stay in the NICU was 10.82+/-11 days with an estimated mortality of 82.9%; the three-month survival was 9.52%. The median overall survival was 7+/-1 days (CI(95%): 5-9).
CONCLUSION
Comatose stroke patients have a poor prognosis, emphasizing the crucial importance of primary prevention.
背景
在达喀尔，中风是最常见的神经系统疾病，死亡率最高。患者可能处于昏迷的危急状态。本研究的目的是评估塞内加尔达喀尔昏迷中风患者的生存率。
方法
这是一项于2006年4月至2007年7月在塞内加尔法恩大学教学医院神经重症监护病房（NICU）进行的纵向前瞻性研究。纳入研究的所有中风患者均经CT扫描确诊，格拉斯哥昏迷评分小于或等于8/15。蛛网膜下腔出血患者被排除。
结果
共评估了105例患者，其中54例为缺血性中风。平均年龄为61.87±14.16岁。在NICU的平均住院时间为10.82±11天，估计死亡率为82.9%；三个月生存率为9.52%。总体生存中位数为7±1天（95%置信区间：5-9）。
结论
昏迷中风患者预后较差，强调了一级预防的至关重要性。
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