Baye Moges, Hintze Amy, Gordon-Murer Chloe, Mariscal Tatiana, Belay Gashaw Jember, Gebremariam Aynishet Adane, Hughes Charmayne M L
Department of Physiotherapy, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Health Equity Institute, San Francisco State University, San Francisco, CA, United States.
Front Neurol. 2020 May 19;11:428. doi: 10.3389/fneur.2020.00428. eCollection 2020.
Stroke is becoming one of the leading causes of adult disability and death in sub-Saharan African countries. The aim of the present study is to provide an up-to-date account of the clinical and demographic characteristics of patients with stroke admitted to the University of Gondar College of Medicine and Health Science Comprehensive Specialized Hospital (CMHS). A hospital based retrospective study design was used to analyze the medical records of all patients with stroke admitted to CMHS from June 20th 2012 and April 30th 2018. Data were cleaned and entered into SPSS for analysis. Among the 448 patients with stroke admitted to CMHS, 58.0% ( = 260) of patients were female, and 42.0% ( = 188) were male. In the present sample, 141 (31.5%) had an ischemic stroke confirmed by neuroimaging, 82 (18.3%) had a hemorrhagic stroke confirmed by neuroimaging, and 252 (50.2%) had a stroke with undetermined type. The mean age of stroke was 63.9 years (range = 18-100, : 15.1 years), with no differences observed between stroke subtypes. The most common symptoms that led to patients seeking medical intervention were hemiparesis (67.4%), communication difficulties (56.0%), facial deviation (37.3%), and globalized headache (36.4%). Hypertension was the most commonly reported risk factor (37.1%), which was more prevalent in hemorrhagic ( = 37, 45.1%) than ischemic stroke patients ( = 53, 37.6%), stroke with undetermined type ( = 76, 33.8%). Stroke places a significant burden on sub-Saharan African countries. Results of the current study highlight the need to develop programs that educate the Ethiopian populace about the risk factors and symptoms of stroke, the importance of seeking medical care within the golden window, and the benefits of neuroimaging to accurately diagnose stroke subtype. In addition, the current study provides hospital administrators with empirical data that they can use to form an interdisciplinary stroke rehabilitation team capable of improving outcomes of Ethiopian patients with stroke.
在撒哈拉以南非洲国家，中风正成为成人残疾和死亡的主要原因之一。本研究旨在提供贡德尔大学医学与健康科学学院综合专科医院（CMHS）收治的中风患者临床和人口统计学特征的最新情况。采用基于医院的回顾性研究设计，分析2012年6月20日至2018年4月30日期间CMHS收治的所有中风患者的病历。数据经过清理后录入SPSS进行分析。在CMHS收治的448例中风患者中，58.0%（n = 260）为女性，42.0%（n = 188）为男性。在本样本中，141例（31.5%）经神经影像学确诊为缺血性中风，82例（18.3%）经神经影像学确诊为出血性中风，252例（50.2%）中风类型未确定。中风患者的平均年龄为63.9岁（范围 = 18 - 100岁，标准差：15.1岁），各中风亚型之间未观察到差异。导致患者寻求医疗干预的最常见症状是偏瘫（67.4%）、沟通困难（56.0%）、面部偏斜（37.3%）和全头痛（36.4%）。高血压是最常报告的危险因素（37.1%），在出血性中风患者（n = 37，45.1%）中比缺血性中风患者（n = 53，37.6%）和中风类型未确定的患者（n = 76，33.8%）更为普遍。中风给撒哈拉以南非洲国家带来了沉重负担。本研究结果强调需要制定相关项目，教育埃塞俄比亚民众了解中风的危险因素和症状、在黄金窗口期内寻求医疗护理的重要性以及神经影像学对准确诊断中风亚型的益处。此外，本研究为医院管理人员提供了实证数据，他们可利用这些数据组建一个跨学科的中风康复团队，以改善埃塞俄比亚中风患者的治疗效果。
