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RÉSUMÉ
Introduction. L’accident vasculaire cérébral (AVC) survient lorsque l'apport sanguin au cerveau est interrompu en raison d'une rupture d'un vaisseau sanguin ou d'une obstruction d'un vaisseau sanguin par un caillot sanguin. Le but de cette étude était d’étudier le devenir des patients victimes d’accidents vasculaires cérébraux au Centre Hospitalier Universitaire de Libreville (CHUL). Méthodologie. Il s’agissait d’une étude de cohorte historique à visée descriptive et analytique sur une période de 2 mois allant du 1er juin au 31 août 2018 et prenant en compte les dossiers de patients hospitalisés du 1er janvier 2013 au 31 décembre 2017 portant sur les patients victimes d’AVC. Résultats. Nous avons enregistré 163 patients avec une moyenne d’âge de 57 ±11,9 ans. La mortalité cumulée à 3 mois était de 18,17 % et 42,21 % ; la mortalité cumulée à 6 mois de 20,13 % et 46,75 %. Celle à 5 ans était de 34,42 % et 61,69 %. Les facteurs associés à la mortalité à long terme étaient le tabac (p=0,01) et l’AVC (p=0,008). Concernant le handicap, 53,3% des patients étaient dépendants (Rankin > 2) à 3mois, à 6 mois 63,6% étaient dépendants (Rankin ˃ 2). A 5 ans après la survenue de l’AVC, 38,9% étaient dépendants. Conclusion. La mortalité et le taux d'handicap après un AVC restent élevés, mettant en avant l'importance de la prévention et de la prise en charge précoce de cette pathologie.
ABSTRACT
Introduction. Stroke occurs when blood flow to the brain is interrupted due to a ruptured blood vessel or a blockage in a blood vessel caused by a blood clot. The purpose of this study was to investigate the outcomes of patients who suffered from strokes at the University Hospital of Libreville (CHUL). Methodology. This was a historical cohort study with a descriptive and analytical aim over a period of 2 months from June 1st to August 31st, 2018, taking into account the medical records of hospitalized patients from January 1st, 2013 to December 31st, 2017, focusing on patients who suffered from strokes. Results. We recorded 163 patients with an average age of 57 ± 11.9 years. The cumulative mortality at 3 months was 18.17% and 42.21%; the cumulative mortality at 6 months was 20.13% and 46.75%. The 5-year mortality was 34.42% and 61.69%. Factors associated with long-term mortality were smoking (p=0.01) and stroke (p=0.008). Regarding disability, 53.3% of patients were dependent (Rankin > 2) at 3 months, 63.6% were dependent at 6 months (Rankin > 2). At 5 years after the occurrence of the stroke, 38.9% were dependent. Conclusion. Mortality and disability rates after a stroke remain high, highlighting the importance of prevention and early management of this condition.

Keywords

stroke, mortality, disability, Libreville University Hospital. AVC, mortalité, handicap, CHU de Libreville.

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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Author Biographies

Gnigone PupchenMarylise, Service de Neurologie du CHU de Libreville

Département de Médecine et spécialités médicales

Nyangui Mapaga Jennifer, Service de Neurologie du CHU de Libreville

Département de Médecine interne et spécialités médicales

Kouna Ndouongo Philomène, 2. Servie de cardiologie CHU de Libreville, Gabon

Département de Médecine et Spécialités Médicales

How to Cite
Allognon Mahutondji Christian, Elsa, A. B., Annick Andréa, N. ., Ibrahima, C. A. ., Chermine, M. M. ., Michael, M. P. ., Grass Aurell, M. M., PupchenMarylise, G., Jennifer, N. M. ., & Philomène, K. N. (2024). Stroke Patients in Libreville: Examining Outcomes and Prognosis. HEALTH SCIENCES AND DISEASE, 25(4). https://doi.org/10.5281/hsd.v25i4.5466
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