Author(s)

Grass Aurelle Mambila Matsalou¹, Jennifer Nyangui Mapaga¹, Pupchen M. Gnigone¹, Minka’a Pagbe Michael², Chermine Mboumba Mboumba¹, Christian Allognon Mahutondji², Aissata Ibrahima Camara¹, Annick A. Nsounda¹, Nelly Diouf Mbourou¹, Michel-Arnaud Saphou-Damon¹, Elsa Ayo Bivigou², Philomene Kouna Ndouongo¹

¹Neurology Department, University Hospital of Libreville, Libreville, Gabon.
²Cardiology Department, University Hospitalof Libreville, Libreville, Gabon.

Strokes are common around the world and especially in sub-Saharan Africa. They are responsible for severe sequelae and the majority of deaths. In Gabon, no study on stroke mortality has been conducted. Objective: To determine short, medium, long-term mortality and factors associated with long-term stroke mortality. Method: Our study took place in the Neurology Department of the University Hospital Center of Libreville (UHCL). It was a historical cohort study with descriptive and analytical purposes covering the period from June 1 to August 31, 2018 and taking into account hospitalized patients from January 1, 2013 to December 31, 2017. We conducted a comprehensive systematic recruitment of patients with stroke, 18 years old and more, and had been agreed to give information. We included all patients meeting the inclusion criteria. The data was gathered using Epi-Info 7 software. The CHI-2 test was used for the comparison of frequencies and the Student’s test, for comparison of means. Multivariate analysis with logistic regression allowed us to look for factors associated with long-term mortality.  A result was statistically significant for a p < 0.05 value. Results: At 3 months, 28 patients (18.1%) died, at 6 months thirty-one patients or 20.1% died. At 5 years old, fifty-three patients or 34.4% had died. The factors associated with long-term mortality, if the lost of sight were all alive were tobacco (p = 0.01) and stroke (p = 0.008). If all those who were lost to sight had died, no factor was associated with 5-year mortality. Conclusion: Stroke mortality must not be taken for granted, it can be underestimated because of the large number of lost sight. Measures must be put in place to strengthen post-stroke monitoring.

Stroke, Mortality, Associated Factors, Libreville

Matsalou, G.A.M., Mapaga, J.N., Gnigone, P.M., Michael, M.P., Mboumba, C.M., Mahutondji, C.A., Camara, A.I., Nsounda, A.A., Mbourou, N.D., Saphou-Damon, M.-A., Bivigou, E.A. and Ndouongo, P.K. (2024) Short, Medium, and Long-Term Stroke Mortality in Libreville and Associated Factors. Neuroscience and Medicine, 15, 39-50. doi: 10.4236/nm.2024.151003.