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Stroke: Medium and long-term mortality and associated factors in French-speaking West Africa, case of Benin

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DOI: 10.4236/wjns.2014.41008    3,317 Downloads   4,776 Views   Citations


Introduction: Stroke is the leading cause of mortality and physical disability in sub-Saharan Africa. Objective: Determining medium-term and long-term mortality for stroke and identifying associated factors. Method: It consists in a cross-sectional, prospective, descriptive and analytical study that was conducted from April 1 to August 31, 2013 in the Neurology Department of CNHU-HKM in Cotonou. It involved patients who have known stroke for at least 6 months, and were all admitted and discharged later on. The disease survivors were re-contacted and examined again at home or at hospital. Then, the number of deceased was systematically recorded with precision of death time-limit. Results: The overall mortality rate was 29%. Mortality was higher with patients over 70 years with a frequency of 57.1%. The medium-term mortality rate was 25% against 4% for long-term. The average time-limit for death occurrence after the vascular incident was 7 months ± 6.4 months. Prognostic factors of mortality were: the age of the patient (IC95% = 7.73 [1.49 - 39.99], p = 0.015 ), marital status (IC95% = 0.27 [0.08 to 0.94], p = 0.039 ) and the presence of aphasia (IC95% = 5.52 [1.45 to 20.94 ], p = 0.012). Conclusion: Stroke mortality still remains significant, even after the patients have been discharged from hospital. A good psychological family support and efficient aphasia coverage are essential for its reduction.

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Gnonlonfoun, D. , Adjien, C. , Ossou-Nguiet, P. , Avlessi, I. , Goudjinou, G. , Houannou, O. , Acakpo, J. , Houinato, D. and Avode, G. (2014) Stroke: Medium and long-term mortality and associated factors in French-speaking West Africa, case of Benin. World Journal of Neuroscience, 4, 68-74. doi: 10.4236/wjns.2014.41008.

Conflicts of Interest

The authors declare no conflicts of interest.


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