Risk factors profile and outcomes of stroke in low resources settings: a prospective and multicentric study in a sub-Saharan Africa country - Scorecard - MDSpire
Clinical Scorecard: Profile of Stroke Risk Factors and Clinical Outcomes in Resource-Limited Settings: A Multicenter Prospective Study in Angola, Sub-Saharan Africa
At a Glance
Category
Detail
Condition
Stroke
Key Mechanisms
Hypertension and sedentary lifestyle as primary risk factors.
Target Population
Patients hospitalized for stroke in Luanda, Angola.
Care Setting
Tertiary hospitals
Key Highlights
Mean age of patients was 57.1 years, with 55.7% under 60 years.
Ischemic stroke predominated, with hemorrhagic stroke accounting for 46%.
Functional independence at discharge was only 18%; 77% were functionally dependent.
90-day mortality rate was 13.3%, with 4.8% in-hospital deaths.
Hypertension was identified as the leading modifiable risk factor.
Guideline-Based Recommendations
Diagnosis
Stroke diagnosis confirmed via CT brain imaging within 24 hours of admission.
Management
Focus on hypertension screening and control as a primary prevention strategy.
Monitoring & Follow-up
Evaluate functional outcomes using the modified Rankin Scale at discharge and follow-up at 30, 60, and 90 days.
Risks
High prevalence of hemorrhagic stroke and significant mortality rates.
Patient & Prescribing Data
Patients aged 18 years and older with acute ischemic or hemorrhagic stroke.
Emphasis on managing hypertension and addressing lifestyle factors.
Clinical Best Practices
Implement effective primary prevention strategies for stroke.
Enhance hypertension detection and management in the community.
New findings from CREST-2 are providing important evidence on the role of carotid artery stenting (CAS) in patients with severe asymptomatic carotid stenosis — while underscoring the importance of operator experience, patient selection and procedural technique in achieving favorable outcomes.
