un Devenir des Patients Victimes d’Accidents Vasculaires Cérébraux à Libreville

Allognon Mahutondji Christian; Ayo Bivigou Elsa; Nsounda  Annick Andréa; Camara Aissata  Ibrahima; Mboumba Mboumba  Chermine; Minka'a Pagbé  Michael; Mambila Matsalou Grass Aurell; Gnigone PupchenMarylise; Nyangui Mapaga  Jennifer; Kouna Ndouongo Philomène

doi:10.5281/hsd.v25i4.5466

##journal.download##

PDF (English)

Résumé

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.

Mots-clés

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

Cette œuvre est sous licence Creative Commons Attribution - Pas d'Utilisation Commerciale - Pas de Modification 4.0 International.

Bibliographies de l'auteur-e

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

Comment citer

Allognon Mahutondji Christian, Elsa, A. B., Annick Andréa, N. ., Ibrahima, C. A. ., Chermine, M. M. ., Michael, M. P. ., … Philomène, K. N. (2024). un Devenir des Patients Victimes d’Accidents Vasculaires Cérébraux à Libreville. HEALTH SCIENCES AND DISEASE, 25(4). https://doi.org/10.5281/hsd.v25i4.5466

Télécharger la référence

##journal.references##

The top 10 causes of death n.d. https://www.who.int/news-room/fact-sheets/detail/the-top-10-causes-of-death (accessed August 1, 2022).
Gbiri CA, Olawale OA, Isaac SO. Stroke management: Informal caregivers’ burdens and strians of caring for stroke survivors. Ann Phys Rehabil Med 2015;58:98–103. https://doi.org/10.1016/j.rehab.2014.09.017.
Hsieh F-I, Chiou H-Y. Stroke: Morbidity, Risk Factors, and Care in Taiwan. J Stroke 2014;16:59–64. https://doi.org/10.5853/jos.2014.16.2.59.
WHO_NMH_NVI_15.1_fre.pdf n.d.
Essola L, Ngondé Monsu LO, Soami V, Ngomas JF, Sima Zué Mortalité en Unité de Soins Intensifs du Centre Hospitalier Universitaire de Libreville : causes et facteurs de risque RAMUR Tome 22 -N°1-2017: 41-6
Kouna Ndouongo P, Millogo A, Siemefo Kamgang FP et al. Aspects epidemiologiques et evolutifs des accidents vasculaires au centre hospitalier de Libreville (GABON) AJNS 2007 ; 26 (2) : 14-17.
Das S, Chandra Ghosh K, Malhotra M, Yadav U, Sankar Kundu S, Kumar Gangopadhyay P. Short term mortality predictors in acute stroke. Ann Neurosci 2012;19:61–7. https://doi.org/10.5214/ans.0972.7531.12190203.
Garbusinski JM, van der Sande MAB, Bartholome EJ, Dramaix M, Gaye A, Coleman R, et al. Stroke Presentation and Outcome in Developing Countries: A Prospective Study in The Gambia. Stroke 2005;36:1388–93. https://doi.org/10.1161/01.STR.0000170717.91591.7d.
Ogun S a., Ojini F i., Ogungbo B, Kolapo K o., Danesi M a. Stroke in South West Nigeria. Stroke 2005;36:1120–2. https://doi.org/10.1161/01.STR.0000166182.50840.31.
Handschu R, Haslbeck M, Hartmann A, Fellgiebel A, Kolominsky-Rabas P, Schneider D, et al. Mortality prediction in critical care for acute stroke: Severity of illness–score or coma–scale? J Neurol 2005;252:1249–54. https://doi.org/10.1007/s00415-005-0853-5.
Wafeu GS, Fozeu L, Ongolo-zogo P, Menanga AP, Njamnshi AK. Medium-term Survival Following of Stroke in Yaoundé (Cameroon): a prospective observational cohort study. J Stroke Cerebrovasc Dis 2020;29:105060. https://doi.org/10.1016/j.jstrokecerebrovasdis.2020.105060.
Namale G, Kamacooko O, Makhoba A, Mugabi T, Ndagire M, Ssanyu P, et al. Predictors of 30-day and 90-day mortality among hemorrhagic and ischemic stroke patients in urban Uganda: a prospective hospital-based cohort study. BMC Cardiovasc Disord 2020;20. https://doi.org/10.1186/s12872-020-01724-6.
Regenhardt RW, Biseko MR, Shayo AF, Mmbando TN, Grundy SJ, Xu A, et al. Opportunities for intervention: stroke treatments, disability and mortality in urban Tanzania. Int J Qual Health Care 2019;31:385–92. https://doi.org/10.1093/intqhc/mzy188.
Nutakki A, Chomba M, Chishimba L, Zimba S, Gottesman RF, Bahouth MN, et al. Risk Factors and Outcomes of Hospitalized Stroke Patients in Lusaka, Zambia. J Neurol Sci 2021;424:117404. https://doi.org/10.1016/j.jns.2021.117404.
Sarbazi E, Sarbakhsh P, Oskooei D, Yazdchi M, ghaffari-fam S, Shamshirgaran SM. Factors related to 6-month mortality after the first-ever stroke. J Educ Health Promot 2018;7. https://doi.org/10.4103/jehp.jehp_190_17.
Kaduka L, Muniu E, Oduor C, Mbui J, Gakunga R, Kwasa J, et al. Stroke Mortality in Kenya’s Public Tertiary Hospitals: A Prospective Facility-Based Study. Cerebrovasc Dis Extra 2018;8:70–9. https://doi.org/10.1159/000488205.
Sacco RL, Wolf PA, Kannel WB, McNamara PM. Survival and recurrence following stroke. The Framingham study. Stroke 1982;13:290–5. https://doi.org/10.1161/01.STR.13.3.290.
Results of the seven-year prospective study of stroke patients. | Stroke n.d. https://www.ahajournals.org/doi/10.1161/01.STR.19.8.942 (accessed August 17, 2022).
Cerebrovascular Accidents: Incidence and Survival Rates in a Defined Population, Middlesex County, Connecticut | JAMA | JAMA Network n.d. https://jamanetwork.com/journals/jama/article-abstract/1721096 (accessed August 17, 2022).
Hankey GJ, Jamrozik K, Broadhurst RJ, Forbes S, Burvill PW, Anderson CS, et al. Five-Year Survival After First-Ever Stroke and Related Prognostic Factors in the Perth Community Stroke Study. Stroke 2000;31:2080–6. https://doi.org/10.1161/01.STR.31.9.2080.
Brønnum-Hansen H, Davidsen M, Thorvaldsen P. Long-Term Survival and Causes of Death After Stroke. Stroke 2001;32:2131–6. https://doi.org/10.1161/hs0901.094253.
Adoukonou T, Agbétou M, Bangbotché R, Kossi O, Fotso Mefo P, Magne J, et al. Long-Term Mortality of Stroke Survivors in Parakou: 5-Year Follow-Up. J Stroke Cerebrovasc Dis 2020;29:104785. https://doi.org/10.1016/j.jstrokecerebrovasdis.2020.104785.
Walker RW, Wakefield K, Gray WK, Jusabani A, Swai M, Mugusi F. Case‐fatality and disability in the Tanzanian Stroke Incidence Project cohort. Acta Neurol Scand 2016;133:49–54. https://doi.org/10.1111/ane.12422.
Hardie K, Hankey GJ, Jamrozik K, Broadhurst RJ, Anderson C. Ten-Year Survival After First-Ever Stroke in the Perth Community Stroke Study. Stroke 2003;34:1842–6. https://doi.org/10.1161/01.STR.0000082382.42061.EE.
Jong G de, Raak L van, Kessels F, Lodder J. Stroke subtype and mortality: a follow-up study in 998 patients with a first cerebral infarct. J Clin Epidemiol 2003;56:262–8. https://doi.org/10.1016/S0895-4356(02)00572-3.
Novbakht H, Shamshirgaran SM, Sarbakhsh P, Savadi-Oskouei D, Yazdchi MM, Ghorbani Z. Predictors of long-term mortality after first-ever stroke. J Educ Health Promot 2020;9. https://doi.org/10.4103/jehp.jehp_8_19.
Goulart AC, Fernandes TG, Santos IS, Alencar AP, Bensenor IM, Lotufo PA. Predictors of long-term survival among first-ever ischemic and hemorrhagic stroke in a Brazilian stroke cohort. BMC Neurol 2013;13:51. https://doi.org/10.1186/1471-2377-13-51.
Novbakht H, Shamshirgaran SM, Sarbakhsh P, Savadi-Oskouei D, Yazdchi MM, Ghorbani Z. Predictors of long-term mortality after first-ever stroke. J Educ Health Promot 2020;9. https://doi.org/10.4103/jehp.jehp_8_19.
Shou J, Zhou L, Zhu S, Zhang X. Diabetes is an Independent Risk Factor for Stroke Recurrence in Stroke Patients: A Meta-analysis. J Stroke Cerebrovasc Dis 2015;24:1961–8. https://doi.org/10.1016/j.jstrokecerebrovasdis.2015.04.004.
Beckman JA, Creager MA, Libby P. Diabetes and Atherosclerosis: Epidemiology, Pathophysiology, and Management. JAMA 2002;287:2570. https://doi.org/10.1001/jama.287.19.2570.
Wańkowicz P, Gołąb-Janowska M, Nowacki P. Risk factors for death by acute ischaemic stroke in patients from West-Pomerania, Poland. Neurol Neurochir Pol 2020. https://doi.org/10.5603/PJNNS.a2020.0018.
Bartoli F, Lillia N, Lax A, Crocamo C, Mantero V, Carrà G, et al. Depression after Stroke and Risk of Mortality: A Systematic Review and Meta-Analysis. Stroke Res Treat 2013;2013. https://doi.org/10.1155/2013/862978.
Majer IM, Nusselder WJ, Mackenbach JP, Klijs B, van Baal PHM. Mortality Risk Associated With Disability: A Population-Based Record Linkage Study. Am J Public Health 2011;101:e9–15. https://doi.org/10.2105/AJPH.2011.300361.
Walker RW. Age specific prevalence of impairment and disability relating to hemiplegic stroke in the Hai District of northern Tanzania. J Neurol Neurosurg Psychiatry 2000;68:744–9. https://doi.org/10.1136/jnnp.68.6.744.
Cossi M-J, Gobron C, Preux P-M, Niama D, Chabriat H, Houinato D. Stroke: Prevalence and Disability in Cotonou, Benin. Cerebrovasc Dis 2012;33:166–72. https://doi.org/10.1159/000334195.
Kossi O, Batcho C, Adoukonou T, Thonnard J. Functional recovery after stroke in Benin: A six-month follow-up study. J Rehabil Med 2016;48:671–5. https://doi.org/10.2340/16501977-2128.
Adoukonou T, Agbétou M, Bangbotché R, Kossi O, Fotso Mefo P, Magne J, et al. Long-Term Mortality of Stroke Survivors in Parakou: 5-Year Follow-Up. J Stroke Cerebrovasc Dis 2020;29:104785. https://doi.org/10.1016/j.jstrokecerebrovasdis.2020.104785.
Akinyemi RO, Ovbiagele B, Adeniji OA, Sarfo FS, Abd-Allah F, Adoukonou T, et al. Stroke in Africa: profile, progress, prospects and priorities. Nat Rev Neurol 2021;17:634–56. https://doi.org/10.1038/s41582-021-00542-4.
Bello UM, Chutiyami M, Salihu D, Abdu SI, Tafida BA, Jabbo AA, et al. Quality of life of stroke survivors in Africa: a systematic review and meta-analysis. Qual Life Res 2021;30:1–19. https://doi.org/10.1007/s11136-020-02591-6.
Yang Y, Shi Y-Z, Zhang N, Wang S, Ungvari GS, Ng CH, et al. The Disability Rate of 5-Year Post-Stroke and Its Correlation Factors: A National Survey in China. PLOS ONE 2016;11:e0165341. https://doi.org/10.1371/journal.pone.0165341.
Ayerbe L, Ayis S, Crichton S, Wolfe CDA, Rudd AG. The long-term outcomes of depression up to 10 years after stroke; the South London Stroke Register. J Neurol Neurosurg Psychiatry 2014;85:514–21. https://doi.org/10.1136/jnnp-2013-306448.
S W, L de V, A B. Community-based care of stroke patients in a rural African setting. South Afr Med J Suid-Afr Tydskr Vir Geneeskd 2009;99.
Krishnamurthi RV, Moran AE, Feigin VL, Barker-Collo S, Norrving B, Mensah GA, et al. Stroke Prevalence, Mortality and Disability-Adjusted Life Years in Adults Aged 20-64 Years in 1990-2013: Data from the Global Burden of Disease 2013 Study. Neuroepidemiology 2015;45:190–202. https://doi.org/10.1159/000441098.
Lv Y, Sun Q, Li J, Zhang W, He Y, Zhou Y. Disability Status and Its Influencing Factors Among Stroke Patients in Northeast China: A 3-Year Follow-Up Study. Neuropsychiatr Dis Treat 2021;17:2567–73. https://doi.org/10.2147/NDT.S320785.

##journal.references##

The top 10 causes of death n.d. https://www.who.int/news-room/fact-sheets/detail/the-top-10-causes-of-death (accessed August 1, 2022).

Gbiri CA, Olawale OA, Isaac SO. Stroke management: Informal caregivers’ burdens and strians of caring for stroke survivors. Ann Phys Rehabil Med 2015;58:98–103. https://doi.org/10.1016/j.rehab.2014.09.017.

Hsieh F-I, Chiou H-Y. Stroke: Morbidity, Risk Factors, and Care in Taiwan. J Stroke 2014;16:59–64. https://doi.org/10.5853/jos.2014.16.2.59.

WHO_NMH_NVI_15.1_fre.pdf n.d.

Essola L, Ngondé Monsu LO, Soami V, Ngomas JF, Sima Zué Mortalité en Unité de Soins Intensifs du Centre Hospitalier Universitaire de Libreville : causes et facteurs de risque RAMUR Tome 22 -N°1-2017: 41-6

Kouna Ndouongo P, Millogo A, Siemefo Kamgang FP et al. Aspects epidemiologiques et evolutifs des accidents vasculaires au centre hospitalier de Libreville (GABON) AJNS 2007 ; 26 (2) : 14-17.

Das S, Chandra Ghosh K, Malhotra M, Yadav U, Sankar Kundu S, Kumar Gangopadhyay P. Short term mortality predictors in acute stroke. Ann Neurosci 2012;19:61–7. https://doi.org/10.5214/ans.0972.7531.12190203.

Garbusinski JM, van der Sande MAB, Bartholome EJ, Dramaix M, Gaye A, Coleman R, et al. Stroke Presentation and Outcome in Developing Countries: A Prospective Study in The Gambia. Stroke 2005;36:1388–93. https://doi.org/10.1161/01.STR.0000170717.91591.7d.

Ogun S a., Ojini F i., Ogungbo B, Kolapo K o., Danesi M a. Stroke in South West Nigeria. Stroke 2005;36:1120–2. https://doi.org/10.1161/01.STR.0000166182.50840.31.

Handschu R, Haslbeck M, Hartmann A, Fellgiebel A, Kolominsky-Rabas P, Schneider D, et al. Mortality prediction in critical care for acute stroke: Severity of illness–score or coma–scale? J Neurol 2005;252:1249–54. https://doi.org/10.1007/s00415-005-0853-5.

Wafeu GS, Fozeu L, Ongolo-zogo P, Menanga AP, Njamnshi AK. Medium-term Survival Following of Stroke in Yaoundé (Cameroon): a prospective observational cohort study. J Stroke Cerebrovasc Dis 2020;29:105060. https://doi.org/10.1016/j.jstrokecerebrovasdis.2020.105060.

Namale G, Kamacooko O, Makhoba A, Mugabi T, Ndagire M, Ssanyu P, et al. Predictors of 30-day and 90-day mortality among hemorrhagic and ischemic stroke patients in urban Uganda: a prospective hospital-based cohort study. BMC Cardiovasc Disord 2020;20. https://doi.org/10.1186/s12872-020-01724-6.

Regenhardt RW, Biseko MR, Shayo AF, Mmbando TN, Grundy SJ, Xu A, et al. Opportunities for intervention: stroke treatments, disability and mortality in urban Tanzania. Int J Qual Health Care 2019;31:385–92. https://doi.org/10.1093/intqhc/mzy188.

Nutakki A, Chomba M, Chishimba L, Zimba S, Gottesman RF, Bahouth MN, et al. Risk Factors and Outcomes of Hospitalized Stroke Patients in Lusaka, Zambia. J Neurol Sci 2021;424:117404. https://doi.org/10.1016/j.jns.2021.117404.

Sarbazi E, Sarbakhsh P, Oskooei D, Yazdchi M, ghaffari-fam S, Shamshirgaran SM. Factors related to 6-month mortality after the first-ever stroke. J Educ Health Promot 2018;7. https://doi.org/10.4103/jehp.jehp_190_17.

Kaduka L, Muniu E, Oduor C, Mbui J, Gakunga R, Kwasa J, et al. Stroke Mortality in Kenya’s Public Tertiary Hospitals: A Prospective Facility-Based Study. Cerebrovasc Dis Extra 2018;8:70–9. https://doi.org/10.1159/000488205.

Sacco RL, Wolf PA, Kannel WB, McNamara PM. Survival and recurrence following stroke. The Framingham study. Stroke 1982;13:290–5. https://doi.org/10.1161/01.STR.13.3.290.

Results of the seven-year prospective study of stroke patients. | Stroke n.d. https://www.ahajournals.org/doi/10.1161/01.STR.19.8.942 (accessed August 17, 2022).

Cerebrovascular Accidents: Incidence and Survival Rates in a Defined Population, Middlesex County, Connecticut | JAMA | JAMA Network n.d. https://jamanetwork.com/journals/jama/article-abstract/1721096 (accessed August 17, 2022).

Hankey GJ, Jamrozik K, Broadhurst RJ, Forbes S, Burvill PW, Anderson CS, et al. Five-Year Survival After First-Ever Stroke and Related Prognostic Factors in the Perth Community Stroke Study. Stroke 2000;31:2080–6. https://doi.org/10.1161/01.STR.31.9.2080.

Brønnum-Hansen H, Davidsen M, Thorvaldsen P. Long-Term Survival and Causes of Death After Stroke. Stroke 2001;32:2131–6. https://doi.org/10.1161/hs0901.094253.

Adoukonou T, Agbétou M, Bangbotché R, Kossi O, Fotso Mefo P, Magne J, et al. Long-Term Mortality of Stroke Survivors in Parakou: 5-Year Follow-Up. J Stroke Cerebrovasc Dis 2020;29:104785. https://doi.org/10.1016/j.jstrokecerebrovasdis.2020.104785.

Walker RW, Wakefield K, Gray WK, Jusabani A, Swai M, Mugusi F. Case‐fatality and disability in the Tanzanian Stroke Incidence Project cohort. Acta Neurol Scand 2016;133:49–54. https://doi.org/10.1111/ane.12422.

Hardie K, Hankey GJ, Jamrozik K, Broadhurst RJ, Anderson C. Ten-Year Survival After First-Ever Stroke in the Perth Community Stroke Study. Stroke 2003;34:1842–6. https://doi.org/10.1161/01.STR.0000082382.42061.EE.

Jong G de, Raak L van, Kessels F, Lodder J. Stroke subtype and mortality: a follow-up study in 998 patients with a first cerebral infarct. J Clin Epidemiol 2003;56:262–8. https://doi.org/10.1016/S0895-4356(02)00572-3.

Novbakht H, Shamshirgaran SM, Sarbakhsh P, Savadi-Oskouei D, Yazdchi MM, Ghorbani Z. Predictors of long-term mortality after first-ever stroke. J Educ Health Promot 2020;9. https://doi.org/10.4103/jehp.jehp_8_19.

Goulart AC, Fernandes TG, Santos IS, Alencar AP, Bensenor IM, Lotufo PA. Predictors of long-term survival among first-ever ischemic and hemorrhagic stroke in a Brazilian stroke cohort. BMC Neurol 2013;13:51. https://doi.org/10.1186/1471-2377-13-51.

Novbakht H, Shamshirgaran SM, Sarbakhsh P, Savadi-Oskouei D, Yazdchi MM, Ghorbani Z. Predictors of long-term mortality after first-ever stroke. J Educ Health Promot 2020;9. https://doi.org/10.4103/jehp.jehp_8_19.

Shou J, Zhou L, Zhu S, Zhang X. Diabetes is an Independent Risk Factor for Stroke Recurrence in Stroke Patients: A Meta-analysis. J Stroke Cerebrovasc Dis 2015;24:1961–8. https://doi.org/10.1016/j.jstrokecerebrovasdis.2015.04.004.

Beckman JA, Creager MA, Libby P. Diabetes and Atherosclerosis: Epidemiology, Pathophysiology, and Management. JAMA 2002;287:2570. https://doi.org/10.1001/jama.287.19.2570.

Wańkowicz P, Gołąb-Janowska M, Nowacki P. Risk factors for death by acute ischaemic stroke in patients from West-Pomerania, Poland. Neurol Neurochir Pol 2020. https://doi.org/10.5603/PJNNS.a2020.0018.

Bartoli F, Lillia N, Lax A, Crocamo C, Mantero V, Carrà G, et al. Depression after Stroke and Risk of Mortality: A Systematic Review and Meta-Analysis. Stroke Res Treat 2013;2013. https://doi.org/10.1155/2013/862978.

Majer IM, Nusselder WJ, Mackenbach JP, Klijs B, van Baal PHM. Mortality Risk Associated With Disability: A Population-Based Record Linkage Study. Am J Public Health 2011;101:e9–15. https://doi.org/10.2105/AJPH.2011.300361.

Walker RW. Age specific prevalence of impairment and disability relating to hemiplegic stroke in the Hai District of northern Tanzania. J Neurol Neurosurg Psychiatry 2000;68:744–9. https://doi.org/10.1136/jnnp.68.6.744.

Cossi M-J, Gobron C, Preux P-M, Niama D, Chabriat H, Houinato D. Stroke: Prevalence and Disability in Cotonou, Benin. Cerebrovasc Dis 2012;33:166–72. https://doi.org/10.1159/000334195.

Kossi O, Batcho C, Adoukonou T, Thonnard J. Functional recovery after stroke in Benin: A six-month follow-up study. J Rehabil Med 2016;48:671–5. https://doi.org/10.2340/16501977-2128.

Adoukonou T, Agbétou M, Bangbotché R, Kossi O, Fotso Mefo P, Magne J, et al. Long-Term Mortality of Stroke Survivors in Parakou: 5-Year Follow-Up. J Stroke Cerebrovasc Dis 2020;29:104785. https://doi.org/10.1016/j.jstrokecerebrovasdis.2020.104785.

Akinyemi RO, Ovbiagele B, Adeniji OA, Sarfo FS, Abd-Allah F, Adoukonou T, et al. Stroke in Africa: profile, progress, prospects and priorities. Nat Rev Neurol 2021;17:634–56. https://doi.org/10.1038/s41582-021-00542-4.

Bello UM, Chutiyami M, Salihu D, Abdu SI, Tafida BA, Jabbo AA, et al. Quality of life of stroke survivors in Africa: a systematic review and meta-analysis. Qual Life Res 2021;30:1–19. https://doi.org/10.1007/s11136-020-02591-6.

Yang Y, Shi Y-Z, Zhang N, Wang S, Ungvari GS, Ng CH, et al. The Disability Rate of 5-Year Post-Stroke and Its Correlation Factors: A National Survey in China. PLOS ONE 2016;11:e0165341. https://doi.org/10.1371/journal.pone.0165341.

Ayerbe L, Ayis S, Crichton S, Wolfe CDA, Rudd AG. The long-term outcomes of depression up to 10 years after stroke; the South London Stroke Register. J Neurol Neurosurg Psychiatry 2014;85:514–21. https://doi.org/10.1136/jnnp-2013-306448.

S W, L de V, A B. Community-based care of stroke patients in a rural African setting. South Afr Med J Suid-Afr Tydskr Vir Geneeskd 2009;99.

Krishnamurthi RV, Moran AE, Feigin VL, Barker-Collo S, Norrving B, Mensah GA, et al. Stroke Prevalence, Mortality and Disability-Adjusted Life Years in Adults Aged 20-64 Years in 1990-2013: Data from the Global Burden of Disease 2013 Study. Neuroepidemiology 2015;45:190–202. https://doi.org/10.1159/000441098.

Lv Y, Sun Q, Li J, Zhang W, He Y, Zhou Y. Disability Status and Its Influencing Factors Among Stroke Patients in Northeast China: A 3-Year Follow-Up Study. Neuropsychiatr Dis Treat 2021;17:2567–73. https://doi.org/10.2147/NDT.S320785.

un Devenir des Patients Victimes d’Accidents Vasculaires Cérébraux à Libreville

Résumé

Mots-clés

Gnigone PupchenMarylise, Service de Neurologie du CHU de Libreville

Nyangui Mapaga Jennifer, Service de Neurologie du CHU de Libreville

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

##journal.references##

##journal.references##

Articles les plus lus du,de la,des même-s auteur-e-s

Articles similaires

un Devenir des Patients Victimes d’Accidents Vasculaires Cérébraux à Libreville

##plugins.themes.academic_pro.article.sidebar##

##plugins.themes.academic_pro.article.main##

Résumé

Mots-clés

##plugins.themes.academic_pro.article.details##

Gnigone PupchenMarylise, Service de Neurologie du CHU de Libreville

Nyangui Mapaga Jennifer, Service de Neurologie du CHU de Libreville

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

##journal.references##

##journal.references##

Articles les plus lus du,de la,des même-s auteur-e-s

Articles similaires