Stroke admissions in the medical wards of a teaching hospital in south east nigeria: A 10 -year review

  • Marcellinus Nkpozi Department of Internal Medicine, Abia State University Teaching Hospital, Aba, Nigeria
  • Rowland Nwanke Department of Internal Medicine, Abia State University Teaching Hospital, Aba, Nigeria
  • Ejiofor Ugwu Department of Internal Medicine, Enugu State University of Science and Technology, Enugu, Nigeria
Keywords: medical wards; stroke admissions; treatment outcome; southeast Nigeria

Abstract

Stroke, the third leading cause of death worldwide, contributes significantly to the morbidity and mortality of medical admissions. There is a paucity of literature on stroke outcomes in the Southeast region of Nigeria. This study, therefore, is aimed at bridging this gap in knowledge.      .This was a 10-year retrospective descriptive study in which data about patients with a clinical diagnosis of stroke were extracted from the Admission/Discharge registers in the medical wards of ABSUTH, Aba. Relevant data obtained were analyzed using Statistical Package for Social Sciences (SPSS) version 20.0 software. A total of 6587 admissions were recorded within the study period; 830 (12.6%) were admitted because of stroke, made up of 382 (46%) males and 448 (54%) females. Stroke was the commonest cause of death among the medical in-patients within the period under review and of all the stroke admissions, mortality was high at 42.3% with majority of the deaths (91.5%) occurring within the first two weeks of hospitalization. Stroke contributed significantly to medical admissions in the city of Aba, Nigeria. Mortality from stroke was high and that occurred mainly within the acute phase of the illness. There is, therefore, a need for dedicated stroke units to be set up in centres where stroke admissions are this high where the stroke in-patients will be afforded specialized multidisciplinary care instead of the present situation of medical ward admissions.

 

 

 

 

Downloads

Download data is not yet available.

References

Feign VL, Lawes CM, Bennett DA, Barker-Collo SL, Pang V. Worldwide stroke incidence and early case fatality reported in 56 population based studies: A systematic review. Lancet Neurol 2009;8:355-69.

Xu JK, Kenneth D, Murphy SI, Tejada-Vera B. Deaths: Final data for 2007. Natl Vital Stat 2010;58:1-134.

Saqui E. Stroke in Sub-Saharan Africa. Med Trop (Mars) 2007;67:596-600.

Addo J, Amoah AG, Koram KA. The changing patterns of hypertension in Ghana: A study of four rural communities in the GA district. Ethn Dis 2006;16:894-9.

Addo J, Smeeth L, Leon DA. Hypertension in Sub-Saharan Africa: A systematic review. Hypertension 2007;50:1012-8.

Owolabi MO, Akarolo-Anthony S, Akinyemi R, Arnett D, Gebregziabher M, Jenkins C, et al. The burden of stroke in Africa: A glance at the present and a glimpse into the future. Cardiovasc J Afr 2015;26:S27-38.

Feigin VI, Krishnamurthi RV, Parmar P, Norrving B, Mensah GA, Bennett DA, et al. Update on the global burden of ischemic and haemorrhagic stroke in 1990-2013: The GBD 2013 study. Neuroepidemiology 2015;45:161-76.

Moran A, Forouzanfar M, Sampson U, Chugh S, Feigin V, Mensah G. The epidemiology of cardiovascular diseases in Sub-Saharan Africa: The global burden of diseases, injuries and risk factors 2010 Study. Prog Cardiovasc Dis 2013;56:234-9.

Ekeh BC, Ogunniyi AO, Isamade EI. Stroke risk factors among patients in a Nigerian teaching hospital. J Med Trop 2013;15:33-6.

Odusote K. Management of stroke. Niger Med Pract 1996;32:36-62.

Njoku CH, Adeloju AB. Stroke in sokoto, Nigeria: A five year retrospective study. Ann Afr Med 2004;2:73-6.

Desalu OO, Wahab KW, Fawale B, Olarenwaju TO, Busari OA, Adekoya AO, et al. A review of stroke admissions at a tertiary hospital in rural Southwestern Nigeria. Ann Afr Med 2011;10:80.

Komolafe MA, Ogunlade O, Komolafe EO. Stroke mortality in a teaching hospital in South west Nigeria. Trop Doct 2007;3:186-8.

Ogun SA. Acute stroke mortality at LUTH. Niger J Clin Pract 2003;5:38-41.

Wahab KW, Okubadejo NU, Ojini FI, Danesi MA. Predictors of short-term intra-hospital case fatality following first-ever acute ischaemic stroke in Nigerians. J Coll Physicians Surg Pak 2008;18:755-8.

Bademosi OO, Akinkugbe OO, Oyediran AB, Carlisle R. Incidence of stroke in an African city: Results from the stroke registry at Ibadan, Nigeria, 1973-1975. Stroke 1979;10:205-7.

Ogun SA, Ojini FI, Ogungbo B, Kolapo KO, Danesi MA. Stroke in South West Nigeria: A 10-year review. Stroke 2005;36:1120-2.

Ogun SA. Acute stroke mortality at Lagos university teaching hospital-a five year review. Niger Q J Hosp Med 2000;10:8-10.

Ojini FI, Danesi MA. Pattern of neurological admissions at the Lagos university teaching hospital. Niger J Clin Pract 2003;5:38-41.

Ojini FI, Ogun SA, Danesi MA. Thirty-day case fatality of stroke at the Lagos university teaching hospital. Niger Q J Hosp Med 2004;14:64-6.

Ogun SA, Adelowo OO, Familoni OB, Jaiyesimi AE, Fakoya EA. Pattern and outcome of medical admissions at the Ogun state university teaching hospital, Sagamu-a three year review. West Afr J Med 2000;19:304-8.

Adetuyibi A, Akisanya JB, Onadeko BO. Analysis of the causes of death on the medical wards of the university college hospital, Ibadan over a 14-year period (1960-1973). Trans R Soc Trop Med Hyg 1976;70:466-73.

Obiako OR, Oparah SK, Ogunniyi A. Prognosis and outcome of acute stroke in the university college hospital Ibadan, Nigeria. Niger J Clin Pract 2011;14:359-62.

Balami JS, Chen R, Grunwald IQ, Buchan AN. Neurological complications of acute ischaemic stroke. Lancet Neurol 2011;10:357-71.

Weimar C, Mieck T, Buchthal J, et al. Neurological worsening during the acute phase of ischaemic stroke. Arch Neurol 2005;62:393-97.

Johnston SC, Mendis S, Mathers CD. Global variation in stroke burden and mortality: Estimates from monitoring, surveillance, and modelling. Lancet Neurol 2009;8:345-54.

Published
2020-08-05
How to Cite
Nkpozi, M., Nwanke, R., & Ugwu, E. (2020). Stroke admissions in the medical wards of a teaching hospital in south east nigeria: A 10 -year review. Asian Pacific Journal of Health Sciences, 7(3), 35-38. https://doi.org/10.21276/apjhs.2020.7.3.9