TITLE:
Mortality from Stroke in Young People in Brazzaville
AUTHORS:
Motoula Latou Happhia Dinah Boubayi, Josué Euberma Diatewa, Ghislain Armel Mpandzou, Prince Eliot Galieni Sounga Bandzouzi, Elizeth Richtellah Fouti Kouapele, Karen Lise Obondzo Aloba, Paul Macaire Ossou-Nguiet
KEYWORDS:
Brazzaville, Mortality, Stroke, Young Subjects
JOURNAL NAME:
World Journal of Neuroscience,
Vol.14 No.1,
February
29,
2024
ABSTRACT: Introduction:
Cerebrovascular accidents (CVA) are an absolute neurovascular emergency and the
main cause of mortality and acquired disability in adults. In the Congo, stroke
is the leading cause of mortality and the leading cardiovascular emergency,
with a hospital frequency of between 49.74% and 56.2%. The aim of the study was
to identify the mortality factors associated with stroke in young people in
Brazzaville. Patients and Methods: This is a longitudinal
analytical study conducted from February to period from February to September
2019 in the neurology, general intensive care and medical emergency departments
of the Brazzaville University Hospital (CHUB). All subjects aged 18 - 55 years
of completed age, admitted for arterial stroke confirmed by brain imaging, were
included. Study variables were: age, gender, socioeconomic level, laterality,
time to admission and CT scan, vascular risk factors, history of
cardiomyopathy, atrial fibrillation, TIA (transient ischemic attack) or stroke,
NIHSS (National Institutes of Health Stroke Scale) score, Glasgow score, blood
pressure, temperature, heart rate, occurrence or non-occurrence of
complications, blood glucose, creatinine, lipid profile and blood count. Data
were analyzed using SPSS 21 software. Descriptive analyses were performed using
SPSS 21 software. Results: 103 patients were included in the study, of
whom 45 (43.7%) had ischemic stroke and 58 (56.3%) with hemorrhagic stroke.
Mortality was high at 29.1% in our study, and mainly concerned hemorrhagic
strokes (73.7%). Two-week mortality in our study accounted for 63.33% of total
lethality. After simple logistic regression, the factors associated with death
within two weeks were age between 40 - 44 years (OR (odds ratio) = 2.95; p =
0.01), hemorrhagic stroke (OR = 1.41; p = 0.07), mass effect (OR = 3.26; p 15 (OR = 5.89 (2.90 -
11.95); p 15 emerged as a predictor of death within two weeks (OR =
5.89 (2.90 - 11.95); p Conclusion: This study confirms the
basic data of the African literature concerning stroke, as several factors were
identified as independent factors associated with mortality.