Risk Factors for Hemorrhagic Stroke among Adults in the Democratic Republic of the Congo: A Hospital-Based Study in a Limited Resource Setting
Background. The prevalence of stroke is increasing in sub-Saharan Africa. The scarcity of hospital-based stroke data in Lubumbashi (in the Democratic Republic of the Congo) led to the study, which was designed to describe the epidemiology of stroke and identify risk factors associated with hemorrhag...
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| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2022-01-01
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| Series: | Stroke Research and Treatment |
| Online Access: | http://dx.doi.org/10.1155/2022/7840921 |
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| author | Jacques Mbaz Musung Placide Kambola Kakoma Marcellin Bugeme Jeef Paul Munkemena Banze Clarence Kaut Mukeng Orly Ngungwa Muyumba Berthe Mwad Kamalo Harvey Kabulo Kapya Ghyslain Lambo Ngongo Laurent Kitwa Evariste Tshibind Yav Olivier Mukuku Emmanuel Kiyana Muyumba |
| author_facet | Jacques Mbaz Musung Placide Kambola Kakoma Marcellin Bugeme Jeef Paul Munkemena Banze Clarence Kaut Mukeng Orly Ngungwa Muyumba Berthe Mwad Kamalo Harvey Kabulo Kapya Ghyslain Lambo Ngongo Laurent Kitwa Evariste Tshibind Yav Olivier Mukuku Emmanuel Kiyana Muyumba |
| author_sort | Jacques Mbaz Musung |
| collection | DOAJ |
| description | Background. The prevalence of stroke is increasing in sub-Saharan Africa. The scarcity of hospital-based stroke data in Lubumbashi (in the Democratic Republic of the Congo) led to the study, which was designed to describe the epidemiology of stroke and identify risk factors associated with hemorrhagic stroke among adult patients in Lubumbashi. Methods. This was a cross-sectional study of 158 adult patients admitted for stroke in the internal medicine department of Lubumbashi University Clinics from January 2018 to December 2020. Sociodemographic and clinical features, cardiovascular risk factors, and hospital mortality were collected. A logistic regression has determined the risk of developing a hemorrhagic stroke. Results. Of 9,919 hospitalized patients, 158 had a stroke with a hospital prevalence of 1.6%; 86 (54.4%) patients had a hemorrhagic stroke while 72 (45.6%) had an ischemic stroke. Of which 41.1% (65/158) were women. The mean age was 60.8±13.3 years. Main clinical signs were hemiplegia (63.3%), headache (48.7%), speech disorders (38.6%), and dizziness (38.6%). Hypertension (82.9%) and hyperglycemia (53.2%) were the most common risk factors. Inhospital mortality was 22.8%. After logistic regression, independent predictors for developing hemorrhagic stroke were hypertension (aOR=8.19; 95% CI: 2.72–24.66; p<0.0001) and atrial fibrillation (aOR=4.89; 95% CI: 1.41–16.89; p=0.012). Conclusion. This study highlights the high stroke mortality in a resource-limited hospital and the burden of hypertension in the development of hemorrhagic stroke. It illustrates the need to establish stroke care setting to improve the quality of stroke care. |
| format | Article |
| id | doaj-art-b2a780e32f62497e99d945614dd6ea28 |
| institution | Kabale University |
| issn | 2042-0056 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Stroke Research and Treatment |
| spelling | doaj-art-b2a780e32f62497e99d945614dd6ea282025-02-03T06:08:40ZengWileyStroke Research and Treatment2042-00562022-01-01202210.1155/2022/7840921Risk Factors for Hemorrhagic Stroke among Adults in the Democratic Republic of the Congo: A Hospital-Based Study in a Limited Resource SettingJacques Mbaz Musung0Placide Kambola Kakoma1Marcellin Bugeme2Jeef Paul Munkemena Banze3Clarence Kaut Mukeng4Orly Ngungwa Muyumba5Berthe Mwad Kamalo6Harvey Kabulo Kapya7Ghyslain Lambo Ngongo8Laurent Kitwa9Evariste Tshibind Yav10Olivier Mukuku11Emmanuel Kiyana Muyumba12Department of Internal MedicineDepartment of Internal MedicineNeurology DepartmentDepartment of Internal MedicineDepartment of Public HealthDepartment of Internal MedicineDepartment of Internal MedicineDepartment of Internal MedicineDepartment of Public HealthDepartment of Internal MedicineDepartment of Internal MedicineDepartment of ResearchDepartment of Internal MedicineBackground. The prevalence of stroke is increasing in sub-Saharan Africa. The scarcity of hospital-based stroke data in Lubumbashi (in the Democratic Republic of the Congo) led to the study, which was designed to describe the epidemiology of stroke and identify risk factors associated with hemorrhagic stroke among adult patients in Lubumbashi. Methods. This was a cross-sectional study of 158 adult patients admitted for stroke in the internal medicine department of Lubumbashi University Clinics from January 2018 to December 2020. Sociodemographic and clinical features, cardiovascular risk factors, and hospital mortality were collected. A logistic regression has determined the risk of developing a hemorrhagic stroke. Results. Of 9,919 hospitalized patients, 158 had a stroke with a hospital prevalence of 1.6%; 86 (54.4%) patients had a hemorrhagic stroke while 72 (45.6%) had an ischemic stroke. Of which 41.1% (65/158) were women. The mean age was 60.8±13.3 years. Main clinical signs were hemiplegia (63.3%), headache (48.7%), speech disorders (38.6%), and dizziness (38.6%). Hypertension (82.9%) and hyperglycemia (53.2%) were the most common risk factors. Inhospital mortality was 22.8%. After logistic regression, independent predictors for developing hemorrhagic stroke were hypertension (aOR=8.19; 95% CI: 2.72–24.66; p<0.0001) and atrial fibrillation (aOR=4.89; 95% CI: 1.41–16.89; p=0.012). Conclusion. This study highlights the high stroke mortality in a resource-limited hospital and the burden of hypertension in the development of hemorrhagic stroke. It illustrates the need to establish stroke care setting to improve the quality of stroke care.http://dx.doi.org/10.1155/2022/7840921 |
| spellingShingle | Jacques Mbaz Musung Placide Kambola Kakoma Marcellin Bugeme Jeef Paul Munkemena Banze Clarence Kaut Mukeng Orly Ngungwa Muyumba Berthe Mwad Kamalo Harvey Kabulo Kapya Ghyslain Lambo Ngongo Laurent Kitwa Evariste Tshibind Yav Olivier Mukuku Emmanuel Kiyana Muyumba Risk Factors for Hemorrhagic Stroke among Adults in the Democratic Republic of the Congo: A Hospital-Based Study in a Limited Resource Setting Stroke Research and Treatment |
| title | Risk Factors for Hemorrhagic Stroke among Adults in the Democratic Republic of the Congo: A Hospital-Based Study in a Limited Resource Setting |
| title_full | Risk Factors for Hemorrhagic Stroke among Adults in the Democratic Republic of the Congo: A Hospital-Based Study in a Limited Resource Setting |
| title_fullStr | Risk Factors for Hemorrhagic Stroke among Adults in the Democratic Republic of the Congo: A Hospital-Based Study in a Limited Resource Setting |
| title_full_unstemmed | Risk Factors for Hemorrhagic Stroke among Adults in the Democratic Republic of the Congo: A Hospital-Based Study in a Limited Resource Setting |
| title_short | Risk Factors for Hemorrhagic Stroke among Adults in the Democratic Republic of the Congo: A Hospital-Based Study in a Limited Resource Setting |
| title_sort | risk factors for hemorrhagic stroke among adults in the democratic republic of the congo a hospital based study in a limited resource setting |
| url | http://dx.doi.org/10.1155/2022/7840921 |
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