NR Randrianantoandro¹*, O Rahamefy Randrianasolo², DA Raharimaminjatovosoa¹, N Zodaly¹, J Razafimahefa¹ and AD Tehindrazanarivelo¹

¹Neurology Département, Befelatanana University Hospital Antananarivo Madagascar, Africa
²Neurology Department, PZAGA University Hospital Majunga Madagascar, Africa

*Corresponding Author: NR Randrianantoandro, Neurology Département, Befelatanana University Hospital Antananarivo Madagascar, Africa.

Received: July 13, 2022; Published: September 20, 2022

Abstract

Introduction: stroke-related mortality and morbidity remain high, especially in low-income countries. The objectives of this study were to determine the clinical characteristics, the brain CT scan characteristics and the intra-hospital mortality of strokes.

Materials and Methods: this is a descriptive, retrospective study over a period of 5 years, from July 2011 to June 2016. Included all patients hospitalized for stroke in the neurology department of Befelatanana University Hospital during this period with or without scanning evidence.

Results: 1272 patients were retained with an average age of 57.22 ± 10.1 years. The sex ratio was 0.96. Hypertension is the cardiovascular risk factor most frequently found at 82.40% of cases. In the majority of cases, moderate strokes with the median NIHSS value of 10 and the median Modified Rankin scale of 4 were observed. Seven hundred and forty-four patients (58.5%) had performed a brain CT scan. Intra-parenchymal hematomas represented 49.60% of cases and cerebral infarction 45.16%. The mortality was 13.36%. The main causes of death were neurological complications of a stroke at 43.52% of cases and pneumonia (31.17%).

Conclusions: Stroke morbidity and mortality remained high in our practice. The establishment of a Neuro Vascular Intensive Care Unit would improve the prognosis of this pathology.

Keywords: Brain CT Scan; Characteristics; Madagascar; Mortality; Stroke

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Citation

Citation: NR Randrianantoandro., et al. “Clinical Characteristics and Hospital Mortality of Stroke in the Neurology Department of the Befelatanana University Hospital”. Acta Scientific Neurology 5.10 (2022): 48-51.

Copyright

Copyright: © 2022 NR Randrianatoandro., 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.