Nwazor Ernest, Chukwuocha Ikechukwu, Ajuonuma Benneth, Obi Patrick, Madueke Onyedika
Department of Internal Medicine Federal University Teaching Hospital Owerri, Nigeria.
Department of Internal Medicine, Rivers State University Teaching Hospital, Port Harcourt, Nigeria.
Niger Med J. 2024 May 23;65(2):185-194. doi: 10.60787/nmj-v65i2-442. eCollection 2024 Mar-Apr.
Stroke is a common neurological disorder with a huge global burden in terms of mortality and morbidity. Epidemiological evidence has shown that modifiable risk factors are responsible for more than 90% of all strokes. Stroke outcome in hospitalized patients is influenced by several variables, such as socio-demographic factors, stroke subtype, and admission severity. The interaction between stroke outcomes and these parameters is often complex. The study is aimed to profile hospitalized stroke patients and determine outcome predictors.
A descriptive retrospective study of 100 patients hospitalized for acute stroke. Their medical records were reviewed for demographic and clinical variables and relevant data were retrieved and analysed using appropriate statistical methods.
Of the 100 acute stroke patients studied, 36% were men and 64% were women. The mean age was 65.16±15.72. About 78%had ischemic stroke while 21% had haemorrhagic strokes. The commonest risk factor was hypertension (71.2%). On multivariate analysis, stroke subtype and admission duration were significantly linked to stroke outcome.
Ischemic stroke comprises more than two-thirds of stroke admissions, with hypertension being the most common risk factor and stroke case fatality of 23%. Stroke subtype and admission duration significantly predicted stroke outcomes. The need to step up measures aimed at improving acute stroke care in hospitalized patients is imperative as this will hopefully improve overall outcomes in resource constraint settings such as Nigeria.
中风是一种常见的神经系统疾病，在全球范围内造成了巨大的死亡和发病负担。流行病学证据表明，可改变的风险因素导致了超过90%的中风病例。住院患者的中风预后受多种变量影响，如社会人口统计学因素、中风亚型和入院时的严重程度。中风预后与这些参数之间的相互作用通常很复杂。本研究旨在描述住院中风患者的特征并确定预后预测因素。
对100例因急性中风住院的患者进行描述性回顾性研究。查阅他们的病历以获取人口统计学和临床变量，并使用适当的统计方法检索和分析相关数据。
在研究的100例急性中风患者中，男性占36%，女性占64%。平均年龄为65.16±15.72岁。约78%为缺血性中风，21%为出血性中风。最常见的风险因素是高血压（71.2%）。多因素分析显示，中风亚型和住院时间与中风预后显著相关。
缺血性中风占中风住院病例的三分之二以上，高血压是最常见的风险因素，中风病死率为23%。中风亚型和住院时间显著预测中风预后。迫切需要加强旨在改善住院患者急性中风护理的措施，因为这有望在尼日利亚等资源有限的环境中改善总体预后。
