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加纳库马西一家成人神经科诊所的神经系统疾病概况。

Profile of neurological disorders in an adult neurology clinic in Kumasi, Ghana.

作者信息

Sarfo Fred Stephen, Akassi John, Badu Elizabeth, Okorozo Aham, Ovbiagele Bruce, Akpalu Albert

机构信息

Kwame Nkrumah University of Science & Technology, Kumasi, Ghana ; Komfo Anokye Teaching Hospital, Kumasi, Ghana.

Komfo Anokye Teaching Hospital, Kumasi, Ghana.

出版信息

eNeurologicalSci. 2016 Jun;3:69-74. doi: 10.1016/j.ensci.2016.03.003.

DOI:10.1016/j.ensci.2016.03.003
PMID:27110596
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4839267/
Abstract

BACKGROUND

Although the burden of neurological disorders is highest among populations in developing countries there is a dearth of data on the clinical spectrum of these disorders.

OBJECTIVE

To profile the frequency of neurologic disorders and basic demographic data in an adult neurology out-patient service commissioned in 2011 in Kumasi, Ghana.

METHODS

The study was conducted at the neurology clinic of the Komfo Anokye Teaching Hospital in Kumasi, Ghana. Over a three year period, all medical records of patients enrolled at the out-patient neurology clinic was reviewed by a neurologist and neurological diagnoses classified according to ICD-10.

RESULTS

1812 adults enrolled for care in the neurology out-patient service between 2011 and 2013. This comprised of 882 males and 930 females (male: female ratio of 1.0: 1.1) with an overall median age of 54 (IQR, 39-69) years. The commonest primary neurological disorders seen were strokes, epilepsy and seizure disorders, and movement disorders at frequencies of 57.1%, 19.8%, and 8.2% respectively.

CONCLUSIONS

Cerebrovascular diseases, epilepsy and movement disorders were among the commonest neurological disorders and the major contributors to neurologic morbidity among Ghanaians in an urban neurology clinic.

摘要

背景

尽管发展中国家人群中神经疾病负担最高,但关于这些疾病临床谱的数据却很匮乏。

目的

描述2011年在加纳库马西设立的成人神经科门诊服务中神经疾病的发生频率及基本人口统计学数据。

方法

该研究在加纳库马西的Komfo Anokye教学医院神经科诊所进行。在三年时间里,一名神经科医生对门诊神经科诊所登记患者的所有病历进行了审查,并根据ICD-10对神经疾病诊断进行了分类。

结果

2011年至2013年期间,1812名成年人在神经科门诊接受治疗。其中男性882人,女性930人(男女比例为1.0:1.1),总体中位年龄为54岁(四分位间距,39 - 69岁)。最常见的原发性神经疾病是中风、癫痫和发作性疾病以及运动障碍,其发生频率分别为57.1%、19.8%和8.2%。

结论

在城市神经科诊所中,脑血管疾病、癫痫和运动障碍是加纳人最常见的神经疾病,也是神经疾病发病率的主要贡献因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/370c/5803071/a95b4f82b9cd/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/370c/5803071/40e77de41f00/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/370c/5803071/a95b4f82b9cd/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/370c/5803071/40e77de41f00/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/370c/5803071/a95b4f82b9cd/gr2.jpg

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