TITLE:
Prognostic Factors for Mortality by Ischemic Stroke at the Treichville University Hospital in Abidjan
AUTHORS:
N’guessan Konan Michel, Ouattara Tiepe Rokia, Jean Fiacre Lidwine Abbé, Manzan Edwige Anastasie Wognin, Georges Stephane Koffi, Stephane Yapa, Christ Ziahi Reine Marie Koffi, Abdoul Yannick Gonan, Kehi Jonathan Kpan, Ahua N’seliosseh Sebastienne Yao, Eyram Makafui Yoan Yawo Amekoudi
KEYWORDS:
Ischemic Stroke, Mortality, Prognosis, Treichville
JOURNAL NAME:
Neuroscience and Medicine,
Vol.16 No.1,
February
6,
2025
ABSTRACT: Objectives: This paper aims to determine the predictive factors of mortality from ischemic stroke in the internal medicine and neurology departments of the Treichville University Hospital. Materials and Methods: This was a retrospective, descriptive and analytical cross-sectional study over one year concerning patients hospitalized for an ischemic stroke and therefore the evolution at the end of hospitalization was known. The data were collected on a survey form and the EPI-INFO 7 software was used for statistical analysis. The variables were first compared with the Chi-Square or Fischer tests and then the logistic regression test. Results: A total of 120 patients were recruited. Their age mean was 60 years with a male predominance (55.87%). The mean admission time was eight days. Cardiovascular risk factors were dominated by high blood pressure (72%), history of stroke (63%), and diabetes (36%). Impaired consciousness was the most common clinical sign. The fatality rate of stroke was 24.11%. Factors associated with death were history of stroke (0.023), Glasgow score less than 13 (P = 0.023), length of stay greater than 20 days (P = 0.01), and aspiration pneumonia (0.004). After logistic regression, only history of stroke (OR = 7.77) and prolonged stay (OR = 14.43) were independently associated with mortality from stroke. Conclusion: The analysis of predictive factors of mortality allows a better understanding of the management of this condition on a national scale. The burden of stroke remains heavy for our states. Management in intensive care units as well as prevention of stroke recurrence are decisive for improving the prognosis.