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安哥拉成年中风患者的临床概况:一项横断面研究。

Clinical profile of adult stroke patients in Angola: a cross-sectional study.

作者信息

Artur Gonçalves Herculana, Gama Ricardo João Adilson

机构信息

Physiology Department, Faculty of Medicine, Agostinho Neto University, Luanda, Angola.

Neurology Service, Clínica Sagrada Esperança, Luanda, Angola.

出版信息

Sci Rep. 2025 Mar 28;15(1):10679. doi: 10.1038/s41598-025-88288-7.

Abstract

Stroke is a leading cause of death and disability worldwide, and the greatest burden of this disease has been observed in low- and middle-income countries, which continue to face several challenges in stroke care. The objective of this study was to identify the clinical profile of Angolan stroke patients in a tertiary hospital in Luanda. A cross-sectional investigation was conducted at Clínica Sagrada Esperança in Angola a tertiary center, on stroke patients admitted to the neurology service. Data was collected from November 2022 to March 2023. We included all patients who were admitted to the emergency department. Patients under 18 years of age, who had a previous stroke ≥ 2 score on the modified Rankin scale (mRS), and had brain tumors were excluded. We identified 139 stroke patients. The mean age was 59.5 ± 13.5 years, most were male (65.5%). The ischemic stroke was the most prevalent subtype (73.4%). The mean length of stay was 8.3 ± 4.7 days. Higher mRS scores at discharge were associated with complications (p < 0.001) and prolonged hospitalization (p = 0.001). The most frequent risk factors were hypertension (96.5%), alcohol use (67.4%), and diabetes (29.6%). Our study provides crucial insights into the profile of stroke patients in Angola. The collected data are vital for informing effective preventive measures and improving patient care.

摘要

中风是全球死亡和残疾的主要原因,在低收入和中等收入国家,这种疾病的负担最为沉重,这些国家在中风护理方面继续面临若干挑战。本研究的目的是确定罗安达一家三级医院中安哥拉中风患者的临床特征。在安哥拉的三级中心圣埃斯佩兰萨诊所对神经内科收治的中风患者进行了横断面调查。数据收集于2022年11月至2023年3月。我们纳入了所有入住急诊科的患者。排除了18岁以下、改良Rankin量表(mRS)评分≥2分且既往有中风史以及患有脑肿瘤的患者。我们确定了139例中风患者。平均年龄为59.5±13.5岁,大多数为男性(65.5%)。缺血性中风是最常见的亚型(73.4%)。平均住院时间为8.3±4.7天。出院时较高的mRS评分与并发症(p<0.001)和住院时间延长(p=0.001)相关。最常见的危险因素是高血压(96.5%)、饮酒(67.4%)和糖尿病(29.6%)。我们的研究为安哥拉中风患者的特征提供了关键见解。所收集的数据对于制定有效的预防措施和改善患者护理至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31aa/11950401/8a820ceb80a0/41598_2025_88288_Fig1_HTML.jpg

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