Acta Scientific Medical Sciences (ASMS)(ISSN: 2582-0931)

Research Article Volume 6 Issue 6

Psychosocial and Economic Evaluation of Stroke Management in Elderly Subjects and their Caregivers: A Prospective Study in the Neurology Department of the CHNU of FANN-Dakar

Mbaye Khalifa Ababacar1*, Sall Assane2, Mbacké Serigne Saliou1, Cissé Ousmane1, Touré Kamadore1 and Koume Mamadou2

1Neurology Department, CHU/FANN, Senegal
2Geriatric Service, CHU/FANN, Senegal

*Corresponding Author: Mbaye Khalifa Ababacar, Neurology Department, CHU/FANN, Senegal.

Received: March 14, 2022; Published: May 06, 2022

Abstract

Introduction: Stroke most often affects elderly subjects with many consequences on the daily life of patients and their caregivers. The objective of our study was to evaluate the psychosocial and economic aspects of stroke management in the elderly at the Fann University Hospital.

Patients and Method: This was a cross-sectional and descriptive study over a 16-month period. Subjects aged 60 years and over diagnosed with stroke, able to answer the questionnaire and accompanied by a caregiver were included.

Results: Sixty patients were collected over a period of 16 months with an average age of 71.46 years. Our patients were mostly unemployed (55%) and 75% of patients had social security coverage. Of the patients who had a motor deficit, 55.20% had sequelae. The psychological impact was assessed according to the ZARIT score and in 45% of the caregivers the burden was mild to moderate. 60% of patients were not depressed. For the economic impact, the average duration of work stoppage for the main caregiver was 23.86 days and the average cost of financial losses related to work stoppage was 120,016.94 FCFA or 206.92 USD.

Conclusion: Stroke is a pathology with multiple consequences for both patients and caregivers. Psycho-social care and economic assistance are essential in our context.

Keywords: Stroke; Caregivers; Depression; Cost

References

  1. Adoukonou T., et al. “Stroke management in sub-Saharan Africa”. Review on Neurology11 (2010): 882-893.
  2. Aarli JA., et al. “Neurology in sub-Saharan Africa: a challenge for the World Federation of Neurology”. Neurology17 (2007): 1715-1718.
  3. K Touré., et al. “Evaluation of the cost of stroke management in Dakar, Senegal”. Médecine Tropicale (March) 65.5 (2005): 458-464.
  4. Thierry Adoukonou., et al. “Direct hospital cost of stroke in Parakou, northern Benin”. Pan African Medical Journal 16 (2013): 121.
  5. Yangatimbi E., et al. “Epidemiology of ischemic stroke in elderly patients at the neurological clinic of CHU de Fann, Dakar-Senegal”. Journal of Neurology-neurosurgery-psychiatry16 (2017): 27-34.
  6. Aribi L., et al. “Depression after stroke in the elderly: a cross-sectional study about 40 cases”. Psychiatric Information10 (2013): 843-850.
  7. Mpandzou GA., et al. “Evaluation of the caregiver's burden after a stroke at the Brazzaville University Hospital”. AJNS1 (2018).
  8. Bucki B., et al. “Caring for people after stroke : emotional reactions of male and female informal carers” 2.24 (2012): 143-156.
  9. Macrae HM. “Women and Caring: Constructing Self Through Others”. Journal of Women and Aging 7 (1995): 145-167.
  10. Michèle Baumann and Pierre Aïach. “L'AIDANT PRINCIPAL FACE A L'AVC D'UN PROCHE”. Médecine 4 (2009): 184-188.
  11. Hackett ML and Pickles K. “Part I: frequency of depression after stroke: an updated systematic review and meta-analysis of observational studies”. International Journal of Stroke 9 (2014): 1017-1025.
  12. Heesoo J., et al. “A literature review of indirect costs associated with stroke”. Journal of Stroke and Cerebrovascular Diseases 7 (2014): 1753-1763.
  13. Afitap İ., et al. “Economic burden of stroke”. Turkish Journal of Physical Medicine and Rehabilitation 2 (2017): 155-159.
  14. Mapoure YN., et al. “Cost of Cerebrovascular Accidents at the Douala General Hospital” 15.3 (2013): 1-7.
  15. Balogou AAK., et al. “Cost price of a hospitalization in the neurology department of the CHU of Lomé (Togo) Cahiers d'études et de recherches francophones/santé”. 14.2 (2004): 109-114.

Citation

Citation: Mbaye Khalifa Ababacar., et al. “The Neonates' Body Length and Body Weight in Two Different Periods of Time”.Acta Scientific Medical Sciences 6.6 (2022): 65-68.

Copyright

Copyright: © 2022 Mbaye Khalifa Ababacar., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




Metrics

Acceptance rate30%
Acceptance to publication20-30 days
Impact Factor1.403

Indexed In





News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is April 30th, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue".
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.

Contact US