Risk factors profile and outcomes of stroke in low resources settings: a prospective and multicentric study in a sub-Saharan Africa country - Report - MDSpire
Profile of Stroke Risk Factors and Clinical Outcomes in Resource-Limited Settings
Overview
This study characterizes stroke risk factors and clinical outcomes in Angola, highlighting a predominance of hemorrhagic strokes and significant functional dependence among patients. Key findings include high rates of hypertension and sedentary lifestyle as primary risk factors.
Background
Stroke is a leading cause of death and disability globally, particularly impacting low- and middle-income countries. In sub-Saharan Africa, strokes often occur at younger ages and are associated with poorer outcomes compared to high-income regions. Understanding the local epidemiology of stroke is crucial for developing targeted prevention and management strategies.
Data Highlights
Parameter
Value
Mean Age
57.1 ± 13.5 years
Patients under 60
55.7%
Ischemic Stroke Cases
54%
Hemorrhagic Stroke Cases
46%
Hypertension Prevalence
84.4%
Sedentary Lifestyle Prevalence
81.8%
Functional Independence at Discharge
18%
90-Day Mortality Rate
13.3%
Key Findings
Hypertension was the leading modifiable risk factor, present in 84.4% of patients.
Patients presented with strokes at a younger mean age of 57.1 years.
Functional independence at discharge was achieved by only 18% of patients.
Mortality by 90 days was 13.3%, with 4.8% occurring during hospitalization.
Hemorrhagic strokes accounted for 46% of cases in this cohort.
Clinical Implications
The high prevalence of hypertension and sedentary lifestyle among stroke patients in Angola indicates a need for enhanced screening and management strategies.
Conclusion
The study highlights the burden of stroke in Angola.
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