Acta Scientific Neurology (ASNE) (ISSN: 2582-1121)

Review Article Volume 5 Issue 12

'Stroke Epidemics', The Neurological Emergency of Concern in South-West, Nigeria, W/Africa: The Burden, Pre-Hospital Care Quality, Patterns of Presentations and Treatment Outcomes of Stroke Patients Managed in a Nigerian Tertiary Health Facility, W/Africa

Idowu EO*, Adeniji FIP, Jonathan A Edlow and David T Chiu

Department of Emergency Medicine, University College Hospital Ibadan, Nigeria ; Department of Health Policy and Management, College of Medicine, University of Ibadan, Nigeria in collaboration with the Emergency Medicine Department, Beth Israel Deaconess Medical Centre Boston, USA.

*Corresponding Author: Idowu EO, Department of Emergency Medicine, University College Hospital Ibadan, Nigeria ; Department of Health Policy and Management, College of Medicine, University of Ibadan, Nigeria in collaboration with the Emergency Medicine Department, Beth Israel Deaconess Medical Centre Boston, USA.

Received: September 24, 2022; Published: November 09, 2022

Abstract

Stroke as a rife neurological emergency of note across different age-related, gender-based, economic, and racial lines is now more with us than ever before. Cerebrovascular accident, as it is otherwise called, constitutes a major clinico-epidemiologic burden to conscientious neurological emergency physicians, neurologists and neurosurgeons both at the public and private emergency departments of tertiary health institutions, home and abroad, and in the public domains premised on the loads of stroke patients referred from neighboring peripheral facilities or presenting directly to the emergency departments. The main objective is to assess the pre-hospital care quality, severity and patterns of clinical presentation, and treatment outcomes alongside using the information derived to make informed decisions by stakeholders about health of the public as per stroke burden and in par-parsu, the health workers on the rapidly evolving epidemics of stroke streaking across both young and old age brackets. Analysis of the data on clinical presentations, pre-hospital emergency services and clinical outcomes of stroke patients managed at the Emergency Department, University College Hospital, Ibadan, Nigeria, a large public tertiary facility with a comparative advantage on excellent referral network system, clinical services, research and training in West Africa, between May 01, 2021, and April 30, 2022 using SPSS version-28. Stroke is a social menace in the recent times both on the health of the Young and Old with the morbidities and mortalities in the epidemic proportions if unmitigated. Public enlightenment on prevention primarily, then by extension on the danger signs and symptoms of stroke for early ED presentation will go a long way in changing the narrative. Efficient ambulance services with effective in-hospital stroke team protocol of about 72hours comprehensive treatment algorithm will improve further early treatment initiation, stroke ED stroke management and operations dynamics. Prompt treatment of co-morbidities (obesity, hypertension, Diabetes Mellitus, SARS-Cov-2 infection, etc. will appreciably cut down on heavy stroke admission load and improve clinical outcomes.

Keywords:Neurological Emergency Physicians; Neurosurgeons; Neurologists; Stroke; Burden; Hemorrhagic; Ischemic; Emergency Department; Health Policy Analyst

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Citation

Citation: Idowu EO., et al. “'Stroke Epidemics', The Neurological Emergency of Concern in South-West, Nigeria, W/Africa: The Burden, Pre-Hospital Care Quality, Patterns of Presentations and Treatment Outcomes of Stroke Patients Managed in a Nigerian Tertiary Health Facility, W/Africa". Acta Scientific Neurology 5.12 (2022): 59-62.

Copyright

Copyright: © 2022 Idowu EO., 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.




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