Profile and Prognostic Factors of Stroke in Age Subjects in Bangui

Abstract

Introduction: The stroke is a real public health problem due to its frequency, its severity, its residual physical and cognitive handicap and its financial cost for society. Goal of the Study: To contribute to the knowledge of these conditions in neurological practice in the Central African Republic. Methodolo gy: Analytical cross-sectional study which took place over a period of 4 months from June 1 to September 30, 2020, in subjects aged 55 and over hospitalized i n the Neurology department of the Friendship Sino University Hospi tal. Central African woman for a stroke with a complete file. Results: During the study, 118 patients were hospitalized in the department, including 24 cases of stroke, for a hospital frequency of 20.33%. The average age was 67.1 years old and the male/female sex ratio was 1.6. Motor deficit and language disorder were the main reasons for consultation (100%). Hypertension was the main risk factor (91.7%). Stroke was the most predominant type of stroke (54.8%). Most of our patients (58.3%) were admitted to healthcare facilities before 6 a.m. The lethality was 25%. There was a statistically significant association between the severity of hypertension and the type of stroke as well as the patient’s condition at discharge. The NIHSS score and the KARNOFSKY score were significa ntly related to the patient’s condition at discharge. All the discharged patients presented with sequelae such as hemiparesis (75%) and dysarthria (45.8%). Con clusion : Stroke is a serious, disabling pathology that is increasingly common with the aging of the population. The creation of a neurovascular unit and a rehabilitation unit could improve the prognosi s and course of stroke in our elderly patients.