埃塞俄比亚索马里州吉吉加镇公立医院成年中风患者的死亡率及危险因素：队列研究设计

Incidence of mortality and risk factors among adult stroke patients in public hospitals Jigjiga town Somali region, Ethiopia: Cohort study design.

作者信息

Ibrahim Ahmed Mohammed, Abdi Abdirasak Abdulahi, Yusuf Ramadan Budul, Osman Mohamed Omar, Muse Abdilahi Ibrahim, Wadajo Girma Tadesse, Hailu Afework, Roble Abdurahman Kedir, Issack Mohamed Ali, Mahamed Ali Ahmed

机构信息

Department of Public Health, College of Medicine and Health Science, Jigjiga University, Jigjiga, Ethiopia.

Department of Nursing, College of Medicine and Health Science, Jigjiga University, Jigjiga, Ethiopia.

出版信息

SAGE Open Med. 2024 Jun 6;12:20503121241258147. doi: 10.1177/20503121241258147. eCollection 2024.

DOI:10.1177/20503121241258147

PMID:38855005

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11159568/

Abstract

BACKGROUND

A stroke is a sudden loss of blood supply to the brain, leading to permanent tissue damage caused by embolism, thrombosis, or hemorrhagic events. Almost 85% of strokes are ischemic strokes.

OBJECTIVE

To assess the incidence of mortality and risk factors among adult stroke patients in public hospitals of Jigjiga town, Somali Region, Ethiopia.

METHODS

An institution-based retrospective cohort study was conducted from 25 May to 15 June 2022 at Sheikh Hassen Yabare Referral Hospital and Karamara Hospital. Data were entered using Epi-Data version 4.3 and exported to be analyzed using SPSS 20 statistical software. Kaplan-Meier was used to estimate mean survival time, and a predictor with a -value < 0.05 was considered to have a significant in multivariate Cox regression.

RESULTS

About 480 stroke patients' charts were included in this study; among those, 229 (53.3%) were male stroke patients, and 259 (60.2%) had an ischemic stroke. The overall incidence rate was 7.15 deaths per 1000 person-day observations. The overall median survival time for adult stroke patients was 120 days. GCS level b/n 3-8 has a lower survival time with a mean survival time of 57 days (95% CI: 48.8-66.7) as compared to those who had GCS level 9-12 with a mean survival time of 103 days (95% CI: 93.4-112.9). Age ⩾ 71 (AHR = 1.9; 95% CI: 1.02-3.45), presence of pneumonia (AHR = 2.7; 95% CI: 1.52-4.63), and history of hypertension (AHR = 2.07; 95% CI: 1.08-3.89) were the predictors of mortality among stroke patients.

CONCLUSION

According to the findings of this study, the incidence of mortality was high, at 7.15 per 1000 person-years. The presence of pneumonia, decreased GCS, age ⩾ 7, and history of hypertension were predictors of mortality in adult stroke patients.

摘要

背景

中风是脑部血液供应突然中断，由栓塞、血栓形成或出血性事件导致永久性组织损伤。几乎85%的中风为缺血性中风。

目的

评估埃塞俄比亚索马里州吉吉加镇公立医院成年中风患者的死亡率及危险因素。

方法

2022年5月25日至6月15日在谢赫·哈森·亚巴雷转诊医院和卡拉马拉医院开展了一项基于机构的回顾性队列研究。数据使用Epi-Data 4.3版本录入，并导出至SPSS 20统计软件进行分析。采用Kaplan-Meier法估计平均生存时间，多因素Cox回归中P值<0.05的预测因素被认为具有显著性。

结果

本研究纳入了约480例中风患者的病历；其中，229例（53.3%）为男性中风患者，259例（60.2%）为缺血性中风患者。总发病率为每1000人日观察中有7.15例死亡。成年中风患者的总体中位生存时间为120天。格拉斯哥昏迷量表（GCS）评分在3 - 8分的患者生存时间较短，平均生存时间为57天（95%置信区间：48.8 - 66.7），而GCS评分在9 - 12分的患者平均生存时间为103天（95%置信区间：93.4 - 112.9）。年龄≥71岁（风险比=1.9；95%置信区间：1.02 - 3.45）、患有肺炎（风险比=2.