Department of Pharmacy, Institute of Health Sciences, Wollega University, Nekemte, Ethiopia.
Melka Soda Primary Hospital, West Guji Zone, Oromia Regional State, Melka Soda, Ethiopia.
J Clin Neurosci. 2020 Jan;71:170-176. doi: 10.1016/j.jocn.2019.08.075. Epub 2019 Aug 27.
Stroke is the brain equivalent of a heart attack. It is one of the most common causes of morbidity and mortality worldwide and is a prominent cause of death, disability and dementia in sub-Saharan Africa (SSA). Hence, the purpose of this study was to assess the clinical characteristics and treatment outcomes among hospitalized stroke patients at Nekemte referral hospital (NRH).
Retrospective cross sectional study design was conducted on randomly selected stroke patients admitted to medical wards of NRH from 2013 to 2017.
Among 364 patients included in the study, 208 (57.1%) were males and the mean age of the patients was 59.66 ± 13.4 years. Regarding types of stroke, 192 (52.7%) were diagnosed as having ischemic stroke. During admission 132 (36.3%) patients complained left side body weakness (hemiparesis) and the major risk factor identified was hypertension 230 (63.2%). Overall, 65.4% of patients had poor outcome while 34.6% of patients had good out comes (improved). Being illiterate /unable to read and write (AOR = 3.94, 95% CI: 1.31-11.76, P = 0.01), attending secondary school (AOR = 3.6, 95% CI: 1.4-9.17, P = 0.007) and length of hospital stay >5 days (AOR = 2, 95% CI: 1.04-3.86, P = 0.037) were independent predictors of poor treatment outcome.
About two third of the patients had poor treatment outcome. Educational status and mean length of hospital stays were independent predictors of poor treatment out-comes. An emergency care setup capable of early patient evaluation, identification and management of stroke complications is crucial to overcome early stroke related mortality.
中风是大脑相当于心脏病发作。它是全世界发病率和死亡率最高的原因之一，也是撒哈拉以南非洲（SSA）死亡、残疾和痴呆的主要原因。因此，本研究的目的是评估内凯姆特转诊医院（NRH）住院中风患者的临床特征和治疗结果。
对 2013 年至 2017 年期间入住 NRH 内科病房的随机选择的中风患者进行回顾性横断面研究设计。
在纳入研究的 364 名患者中，208 名（57.1%）为男性，患者的平均年龄为 59.66±13.4 岁。关于中风类型，192 例（52.7%）被诊断为缺血性中风。住院期间，132 名（36.3%）患者抱怨左侧身体无力（偏瘫），确定的主要危险因素是高血压 230 名（63.2%）。总体而言，65.4%的患者预后较差，34.6%的患者预后良好（改善）。不识字/无法读写（OR=3.94，95%CI：1.31-11.76，P=0.01）、上中学（OR=3.6，95%CI：1.4-9.17，P=0.007）和住院时间>5 天（OR=2，95%CI：1.04-3.86，P=0.037）是治疗效果不佳的独立预测因素。
大约三分之二的患者治疗效果不佳。教育程度和平均住院时间是治疗效果不佳的独立预测因素。建立一个能够早期评估患者、识别和处理中风并发症的紧急护理体系，对于克服早期中风相关死亡率至关重要。
