School of Population and Public Health, The University of British Columbia, Vancouver, Canada.
Department of Medicine, Neurology Unit, Lagos State University Teaching Hospital, Lagos, Nigeria.
Pan Afr Med J. 2022 Jun 22;42:140. doi: 10.11604/pamj.2022.42.140.35086. eCollection 2022.
stroke is one of the leading causes of death and disability in Nigeria. Stroke unit care is crucial for reducing mortality and morbidity in stroke. This study describes the stroke units' structure, organization, and care process in Nigerian tertiary hospitals.
this study is a cross-sectional descriptive organizational survey-based study using an online structured questionnaire to collect information on the stroke units.
five (8.6%) out of 58 hospitals had a stroke unit. The number of beds ranged between 10 and 27 with the coverage of hospital stroke patients ranging from 24% to 100%. All the centers had a multidisciplinary team for their unit. The basic required investigations like computerized tomography and electrocardiography were available in the centers. Thrombolytic therapy coverage was suboptimal in all the centers due to prolonged onset-to-arrival times and inaccessibility of thrombolytic medications.
there has been some progress in stroke unit availability since the country´s first stroke unit was established over a decade ago. However, there is still the need to create more stroke units in Nigeria and improve reperfusion therapy coverage.
在尼日利亚，中风是导致死亡和残疾的主要原因之一。中风单元护理对于降低中风的死亡率和发病率至关重要。本研究描述了尼日利亚三级医院中风单元的结构、组织和护理流程。
本研究是一项基于横断面描述性组织调查的研究，使用在线结构化问卷收集有关中风单元的信息。
58 家医院中有 5 家（8.6%）设有中风单元。床位数量在 10 到 27 张之间，医院中风患者的覆盖范围从 24%到 100%不等。所有中心都有一个多学科团队为其单元服务。中心都配备了计算机断层扫描和心电图等基本必需的检查。由于到达时间延长和溶栓药物不可及，所有中心的溶栓治疗覆盖率都不理想。
自该国十多年前建立第一个中风单元以来，中风单元的可用性已经取得了一些进展。然而，尼日利亚仍需要建立更多的中风单元，并提高再灌注治疗的覆盖率。
