Predictive Factors of Mortality of Stroke in the Neurology Department of Hujr of Befelatanana in Antananarivo
Fanomezantsoa Noëlla Ravelosaona*, Parany Haja Rabearisoa, Zafinirina Andriatoavina Rakoto, Séraphin
Espérant Andriamampilamina and Djacoba Alain Tehindrazanarivelo
Published: September 27, 2022
DOI: 10.55162/MCMS.03.071
Abstract
Introduction: Stroke is a major public health problem in the world. In Madagascar, mortality from strokes is still relevant. Evaluating predictors of mortality would allow better treatment.
Methods: This is a retrospective, descriptive and analytical study of the records of patients admitted to the neurology department during the period January 2015 to December 2019. There have been 1,565 cases of stroke.
Results: The death rate from stroke ranges from 6% to 11%. Demographic characteristics are not predictors of mortality. Clinical features; especially the onset of complications are the predictors of death in stroke. Hemorrhagic stroke was a poor prognosis. Hospital stays of less than 10 days have been associated with mortality in patients with stroke. The NIHSS score has been a good prognostic tool for any type of stroke. For ischemic stroke, an ASPECTS score ≤ 7 was associated with mortality. For hemorrhagic stroke, the ICH score allows a good evaluation of the prognosis of these strokes.
Conclusion: The establishment of a neurovascular unit in the University Hospital JR of Befelatanana would help better manage patients with stroke and other cerebrovascular diseases. National stroke surveys are needed to better identify national priorities.
Keywords: ASPECTS; ICH score; Mortality; Predictors; Stroke