Neurology Unit, Internal Medicine Department, Alex Ekwueme Federal University Teaching Hospital, Abakaliki (AEFUTHA), Ebonyi State, Nigeria. E-mail:
Neurology Unit, Internal Medicine Department, Trinity Group Specialist Hospital, Abakaliki, Ebonyi State, Nigeria.
West Afr J Med. 2024 Apr 30;41(4):429-435.
Stroke ranks as the second leading cause of mortality worldwide, following ischemic heart disease, and is expected to maintain this position through 2030. This neurological ailment is profoundly impactful, imposing a significant burden on health and the economy. In 2019 alone, it was responsible for 6.6 million fatalities and the loss of 143 million disability-adjusted life years (DALYs) across the globe.
This study highlighted the prevalence and pattern of admission mortality among acute stroke patients managed over 9 years in a private tertiary hospital in Abakaliki, Nigeria.
This was a retrospective hospital-based study conducted at a tertiary hospital in Abakaliki, Nigeria from January 2014 to December 2022. Relevant data were extracted from the patients' case notes and the sociodemographic, clinical and laboratory parameters of acute stroke survivors were compared with those of their dead counterparts.
Out of the 172 (males - 57%; females - 43%) patients that fulfilled the inclusion criteria, 53 (30.81%) had haemorrhagic stroke while 119 (69.19%) had ischaemic stroke. The overall admission mortality rate was 15.12%, and it was more common in patients with haemorrhagic stroke, advancing age, severe hypertension, severe stroke, impairment of consciousness, renal dysfunction, hypernatremia, neutrophilic leucocytosis, and short admission duration.
High mortality rates are linked to acute stroke admissions, particularly in cases involving haemorrhagic stroke, increasing age, severe hypertension, substantial stroke severity, impaired consciousness, renal dysfunction, hypernatremia, neutrophilic leukocytosis, and brief admission duration.
中风是全球第二大致死原因，仅次于缺血性心脏病，预计到 2030 年仍将保持这一地位。这种神经系统疾病影响深远，给健康和经济带来了巨大负担。仅 2019 年，它就导致了全球 660 万人死亡和 1.43 亿残疾调整生命年（DALY）的损失。
本研究强调了在尼日利亚阿巴卡利基的一家私立三级医院管理的急性中风患者 9 年期间的入院死亡率的流行率和模式。
这是一项在尼日利亚阿巴卡利基的一家三级医院进行的回顾性基于医院的研究，时间为 2014 年 1 月至 2022 年 12 月。从患者的病历中提取相关数据，并将急性中风幸存者的社会人口统计学、临床和实验室参数与他们的死亡患者进行比较。
在符合纳入标准的 172 名患者中（男性占 57%；女性占 43%），53 名（30.81%）患有出血性中风，119 名（69.19%）患有缺血性中风。总的入院死亡率为 15.12%，出血性中风、年龄增长、严重高血压、严重中风、意识障碍、肾功能障碍、高钠血症、中性粒细胞白细胞增多和入院时间短的患者中更为常见。
急性中风入院患者的死亡率较高，尤其是出血性中风、年龄增长、严重高血压、中风严重程度、意识障碍、肾功能障碍、高钠血症、中性粒细胞白细胞增多和入院时间短的患者。
