Epidemioclinical and Progressive Aspects of the Adult Hemorrhagic Stroke in Bangui

• 作者: Emmanuel Yangatimbi Josué Kinima Junior Koma Zobanga Pascal Mbelesso Symphorien Shansy Grégbia
• 来源期刊: 神经系统科学与医药(英文)
• 学科: 医学
• 关键词: EPIDEMIOLOGY AVCH ELDERLY Central African Republic
• 年，卷（期）: 2020,（3）
• 页码范围: 74-82
• 页数: 9页
• 分类号: R74

摘要

<div style="text-align:justify;"> <span style="font-family:Verdana;"><strong>Introduction:</strong> Hemorrhagic strokes in the elderly constitute a diagnostic and therapeutic emergency and, by their frequency and severity, determine a public health problem. <strong>Goal of the Study: </strong>To elucidate knowledge and make our contribution to the study of this pathology (describe the epidemioclinical and evolutionary aspects of hemorrhagic cerebrovascular accidents in adults in Bangui). <strong>Methodology:</strong> It was a retrospective study with descriptive and analytical aims covering a period of two years (2) from January 2017 to December 2018, conducted in the Neurology department of the Sino-Central African Friendship University Hospital. <strong>Results:</strong> During the study, 255 patients were hospitalized for stroke, including 20 cases of AVCH, representing a hospital frequency of 7.8%. The average age was 60.05 years with extremes ranging from 50 to 78 years. The most represented age group was that of 50 to 60 years with a sex-ratio (M/F) of 1.2. Civil servants were more represented (35%) followed by housewives (25%). Alcohol was the main risk factor (95%) followed by hypertension (80%) and tobacco (40%). Most of the patients (75%) were admitted to the care facilities before 6 am (75%). Lethality was 35%. There was a significant statistical link between the Glasgow score and death (p = 0.007). In this series, 75% of the cases had sequelae dominated by hemiparesis (75%) and aphasia (25%). <strong>Conclusion:</strong> First study in the Central African Republic, with a high frequency, shows that the AVCH of the elderly poses a public health problem. Requires great mass awareness in order to reduce its mortality rate.</span> </div>