Year : 2011 | Volume
: 10 | Issue : 2 | Page : 80--85
A review of stroke admissions at a tertiary hospital in rural Southwestern Nigeria
Olufemi O Desalu1, Kolawole W Wahab1, Bimbo Fawale2, Timothy O Olarenwaju1, Olusegun A Busari2, Adebowale O Adekoya3, Joshua Oluwafemi Afolayan2
1 Department of Medicine, University of Ilorin Teaching Hospital Ilorin, Nigeria
2 Department of Medicine, Federal Medical Centre Ido- Ekiti, Nigeria
3 Department of Medicine, Lagos State University Teaching hospital Ikeja lagos, Nigeria
Background: Stroke is a common neurological disorder and is the third leading cause of death and a major cause of long-term disability. The disease is expected to increase in low- and middle-income countries like Nigeria. There is no information on stroke in rural Nigeria.
Objectives: To review the clinical patterns, risk-factors, and outcome of stroke in a tertiary hospital in rural Nigeria and examine the rural-urban variation of stroke hospitalization in Nigeria.
Materials and Methods: We carried out a retrospective study of patients who had a clinical diagnosis of stroke at the Federal Medical Centre, Ido-Ekiti, South-western Nigeria between November 2006 and October 2009.
Results: A total of 101 patients who had stroke were admitted during this review period, accounting for 4.5% of medical admission and 1.3% of total hospital admission. Women accounted 52.5% of cases, with a male to female ratio of 1 : 1.1. Their mean age was 68 ± 12 years. Stroke occurrences increased with age, as almost half (49.5%) of the cases were aged ≥70 years and majority (84.2%) of them were in low socioeconomic class. The mean hospital stay for stroke treatment was 12 ± 9 days, Glasgow coma score on admission was 11 ± 4. Ischemic stroke was 64.4%; hemorrhagic stroke, 34.7%; and indeterminate, 1.0%. Hypertension (85.2%), diabetes mellitus (23.8%), and tobacco smoking (22.8%) were the common identifiable risk factors for stroke. Of all the patients, 69% had ≥2 risk factors for stroke. Thirty-day case fatality was 23.8%; it increases with age and was higher among men than women (29.2 vs 18.9%) and in patients with diagnosis of hemorrhagic stroke (34.3 vs 18.5%). The numbers of identifiable risk factors of stroke has no effect on the 30-day case fatality. When compared with stroke in urban areas of Nigeria, we found no differences in frequency of hospitalization (1.3 vs 0.9 - 4%) and the major risk factor (hypertension). Hemorrhagic stroke was more common in urban than in the rural community (45.2 - 51 vs 34.7%) and the 30-day case fatality was lower in the rural community (23.8 vs 37.6 - 41.2%).
Conclusion: Stroke is also a common neurological condition in rural Nigeria, in view of the fact that almost 70% of the patients had ≥2 risk factors of stroke. We recommend that, sustainable, community-friendly intervention programmes are incorporated into the health care system for the early prevention, recognition, and modification of the risk factors in persons prone to the disease.
Olufemi O Desalu
Department of Medicine, University of Ilorin Teaching Hospital, PMB 1459, Ilorin
|How to cite this article:|
Desalu OO, Wahab KW, Fawale B, Olarenwaju TO, Busari OA, Adekoya AO, Afolayan JO. A review of stroke admissions at a tertiary hospital in rural Southwestern Nigeria.Ann Afr Med 2011;10:80-85
|How to cite this URL:|
Desalu OO, Wahab KW, Fawale B, Olarenwaju TO, Busari OA, Adekoya AO, Afolayan JO. A review of stroke admissions at a tertiary hospital in rural Southwestern Nigeria. Ann Afr Med [serial online] 2011 [cited 2020 Jul 12 ];10:80-85
Available from: http://www.annalsafrmed.org/article.asp?issn=1596-3519;year=2011;volume=10;issue=2;spage=80;epage=85;aulast=Desalu;type=0