Magnitude, risk factors and outcomes of stroke at Debre Markos Referral Hospital, Northwest Ethiopia: a retrospective observational study

The Egyptian Journal of Neurology, Psychiatry and Neurosurgery

article

Mulugeta, Henok¹  Yehuala, Amare²  Haile, Dessalegn¹  Mekonnen, Nakachew³  Dessie, Getenet⁴  Kassa, Getachew Mullu⁵  Kassa, Zerihun Shimelis⁷  Habtewold, Tesfa Dejenie⁸ 

[1] Department of Nursing, College of Health Science, Debre Markos University;Department of Internal Medicine, Debre Markos Referral Hospital;Department of Public Health, College of Health Science, Debre Markos University;Department of Nursing, School of Health Science, College of Medicine and Health Science, Bahir Dar University;Pan African University Life and Earth Sciences Institutes, Department of Obstetrics and Gynecology, College of Medicine, University of Ibadan;College of Health Sciences, Debre Markos University;Zewditu Memorial Hospital;Department of Epidemiology, University of Groningen, University Medical Center Groningen

关键词: Stroke;    Hemorrhagic stroke;    Ischemic stroke;    Risk factors;    Outcomes;    Ethiopia;   

DOI  :  10.1186/s41983-020-00173-4

学科分类：医学（综合）

来源: Springer

【 摘 要 】

Stroke is one of the leading causes of death and disability in developing countries. The burden of stroke has varied widely in different areas, and there is a paucity of information about stroke in the selected study area. To assess the burden, risk factors, and outcomes of stroke at Debre Markos Referral Hospital, Northwest Ethiopia A hospital-based retrospective observational study was conducted in the medical ward of Debre Markos Referral Hospital from March 2017 to April 2019. A pretested checklist was used to extract relevant data from the chart of stroke patients. All statistical analyses were performed in the SPSS version 20 software. From a total of 2100 admissions in the medical ward, 162 of them were stroke patients, giving the in-hospital magnitude of 7.7%. The in-hospital case fatality rate was 8.6%. Additionally, 27.2% of patients were improved and 39.5% of them were referred. There was a significant association between types of stroke and risk factors such as sex, comorbid hypertension, hyperlipidemia, and atrial fibrillation (P ≤ 0.05). The in-hospital period prevalence of stroke was 7.7%. Ischemic stroke was the most common type of stroke. Hypertension and hyperlipidemia were the leading identified risk factors for stroke. The overall in-hospital mortality was lower than previous studies in sub-Saharan African countries. Therefore, effective strategies and guidelines for the prevention and control of stroke and its risk factors are needed.

【 授权许可】

CC BY