Jurnal Internasional vol.12 issue 1 2022
African Journal of Emergency Medicine
Five-year analysis of clinical presentations and predictors of stroke mortality in rural Southwestern Nigeria: A retrospective observational study
Dublin Core
Title
Jurnal Internasional vol.12 issue 1 2022
African Journal of Emergency Medicine
Five-year analysis of clinical presentations and predictors of stroke mortality in rural Southwestern Nigeria: A retrospective observational study
African Journal of Emergency Medicine
Five-year analysis of clinical presentations and predictors of stroke mortality in rural Southwestern Nigeria: A retrospective observational study
Subject
Stroke
Predictors
Mortality
Rural
Nigeria
Predictors
Mortality
Rural
Nigeria
Description
Introduction: Stroke mortality and its predictors are important outcome measures in stroke epidemiological
studies and clinical trials. There is an observed paucity of data regarding the clinical presentations and predictors
of stroke mortality in Southwestern Nigeria. Few available related studies have centred on hospitals in the urban
and sub-urban areas; however, none in the rural settings. This study, therefore, focuses on the clinical pre-
sentations and predictors of stroke mortality at the adult Emergency Centre of a tertiary hospital situated in rural
Southwestern Nigeria.
Methods: A retrospective survey, using data form and standardized questionnaire, was used to study the patients
admitted for stroke between January 2015 and December 2019. The data were analysed using SPSS Version 22.0.
The results were presented in descriptive and tabular formats.
Results: A total of 276 patients were studied. Their mean age was 67.3 ± 11.1 years. The most common clinical
presentations were hemiparesis and cranial nerve deficit. The case of fatality was 10.1%. The predictors of stroke
mortality were age ≥65 years [(AOR = 12.752; 95% CI: (1.022–159.190), p = 0.048)], Glascow coma score <8
[(AOR = 50.348; 95% CI: (7.779–325.866), p < 0.001)], uncontrolled blood pressure [(AOR = 23.321; 95% CI:
(2.449–221.927), p = 0.006)], presence of atrial fibrillation [(AOR = 16.456; 95% CI: (2.169–169.336), p =
0.009)], convulsion [(AOR = 25.889; 95% CI: (2.374–282.296), p = 0.008)], heart failure [(AOR = 30.284; 95%
CI: (3.265–256.347), p < 0.001)], and a repeat stroke [(AOR = 32.617; 95% CI: (2.410–441.381), p = 0.009)].
Conclusion: The 7-day fatality was 10.1%. The predictors of stroke mortality were poor Glascow coma score,
uncontrolled blood pressure, atrial fibrillation, heart failure, convulsion and a repeat stroke. This study
strengthens the argument on the higher prevalence of stroke and its mortality in rural Southwestern Nigeria. Our
findings may provide an impetus for prospective research on this outcome.
studies and clinical trials. There is an observed paucity of data regarding the clinical presentations and predictors
of stroke mortality in Southwestern Nigeria. Few available related studies have centred on hospitals in the urban
and sub-urban areas; however, none in the rural settings. This study, therefore, focuses on the clinical pre-
sentations and predictors of stroke mortality at the adult Emergency Centre of a tertiary hospital situated in rural
Southwestern Nigeria.
Methods: A retrospective survey, using data form and standardized questionnaire, was used to study the patients
admitted for stroke between January 2015 and December 2019. The data were analysed using SPSS Version 22.0.
The results were presented in descriptive and tabular formats.
Results: A total of 276 patients were studied. Their mean age was 67.3 ± 11.1 years. The most common clinical
presentations were hemiparesis and cranial nerve deficit. The case of fatality was 10.1%. The predictors of stroke
mortality were age ≥65 years [(AOR = 12.752; 95% CI: (1.022–159.190), p = 0.048)], Glascow coma score <8
[(AOR = 50.348; 95% CI: (7.779–325.866), p < 0.001)], uncontrolled blood pressure [(AOR = 23.321; 95% CI:
(2.449–221.927), p = 0.006)], presence of atrial fibrillation [(AOR = 16.456; 95% CI: (2.169–169.336), p =
0.009)], convulsion [(AOR = 25.889; 95% CI: (2.374–282.296), p = 0.008)], heart failure [(AOR = 30.284; 95%
CI: (3.265–256.347), p < 0.001)], and a repeat stroke [(AOR = 32.617; 95% CI: (2.410–441.381), p = 0.009)].
Conclusion: The 7-day fatality was 10.1%. The predictors of stroke mortality were poor Glascow coma score,
uncontrolled blood pressure, atrial fibrillation, heart failure, convulsion and a repeat stroke. This study
strengthens the argument on the higher prevalence of stroke and its mortality in rural Southwestern Nigeria. Our
findings may provide an impetus for prospective research on this outcome.
Creator
Azeez Oyemomi Ibrahim , Olabode Muftau Shabi , Tosin Anthony Agbesanwa , Paul Olowoyo
Source
https://doi.org/10.1016/j.afjem.2021.10.005
Date
26 October 2021
Contributor
peri irawan
Format
pdf
Language
english
Type
text
Files
Citation
Azeez Oyemomi Ibrahim , Olabode Muftau Shabi , Tosin Anthony Agbesanwa , Paul Olowoyo , “Jurnal Internasional vol.12 issue 1 2022
African Journal of Emergency Medicine
Five-year analysis of clinical presentations and predictors of stroke mortality in rural Southwestern Nigeria: A retrospective observational study,” Repository Horizon University Indonesia, accessed November 21, 2024, https://repository.horizon.ac.id/items/show/1876.
African Journal of Emergency Medicine
Five-year analysis of clinical presentations and predictors of stroke mortality in rural Southwestern Nigeria: A retrospective observational study,” Repository Horizon University Indonesia, accessed November 21, 2024, https://repository.horizon.ac.id/items/show/1876.