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Recurrence of Strokes and Associated Factors at Laquintinie Hospital in Douala

Received: 22 May 2021     Accepted: 17 June 2021     Published: 25 June 2021
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Abstract

OVERVIEW: Stroke is the second leading cause of death in the world and the leading cause of non-traumatic disability in adults. Although the incidence of stroke has steadily declined in developed countries, the incidence in low- and middle-income countries like Cameroon continues to grow, accounting for 85% of the global burden of stroke. Whenever a stroke occurs, the patient, the patient's family and the physician want to know the risk of recurrence, its severity and the possibility of prevention. Few studies have focused on stroke recurrences and factors associated with Cameroon. OBJECTIVE: To determine the prevalence of recurrent stroke and the factors associated with Laquintinie Hospital in Douala. METHODOLOGY: We conducted a two-year retrospective study from January 1, 2016 to December 31, 2017 and five-month cross-sectional prospective from January 1, 2018 to May 31, 2018 at Laquintinie Hospital in Douala. Included were all patients hospitalized for stroke. RESULTS: We recruited 528 stroke patients, including 75 recidivists with a recurrence prevalence of 14.20%. The average age of recidivism was 65.82±12.75 years and 70.6% female. Factors statistically associated with recurrence were an antecedent of hypertension (OR=038 [0.152-0.98], P=0.045), the ischemic type of first stroke (OR=2.32 [1.04-5.17] P=0.04); females (OR=2.052 [1.20-3.4921]; P=0.007) and poor treatment compliance after first stroke (OR=0.399 [0.160-0.99] P=0.042). CONCLUSION: About 1 out of 6 (14.2%) survivors of a first stroke have recurrent stroke over the next 2 years at Laquintinie Hospital in Douala. The predictive factors for recurrence in this study were a history of hypertension, the ischemic type of stroke, female gender, and poor adherence to secondary prevention measures.

Published in Clinical Neurology and Neuroscience (Volume 5, Issue 3)
DOI 10.11648/j.cnn.20210503.12
Page(s) 46-49
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Recurrence, Stroke, Risk Factors

References
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[7] Callaly E, Ni Chroinin D, Hannon N, Marnane M, Akijian L, Sheehan O, et al. Rates, Predictors, and Outcomes of Early and Late Recurrence After Stroke: The North Dublin Population Stroke Study. Stroke. 2016; 47 (1): 244-6.
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Cite This Article
  • APA Style

    Paul-Cedric Mbonda, Daniele Mafo, Jacques Doumbe, Callixte Kuate. (2021). Recurrence of Strokes and Associated Factors at Laquintinie Hospital in Douala. Clinical Neurology and Neuroscience, 5(3), 46-49. https://doi.org/10.11648/j.cnn.20210503.12

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    ACS Style

    Paul-Cedric Mbonda; Daniele Mafo; Jacques Doumbe; Callixte Kuate. Recurrence of Strokes and Associated Factors at Laquintinie Hospital in Douala. Clin. Neurol. Neurosci. 2021, 5(3), 46-49. doi: 10.11648/j.cnn.20210503.12

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    AMA Style

    Paul-Cedric Mbonda, Daniele Mafo, Jacques Doumbe, Callixte Kuate. Recurrence of Strokes and Associated Factors at Laquintinie Hospital in Douala. Clin Neurol Neurosci. 2021;5(3):46-49. doi: 10.11648/j.cnn.20210503.12

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  • @article{10.11648/j.cnn.20210503.12,
      author = {Paul-Cedric Mbonda and Daniele Mafo and Jacques Doumbe and Callixte Kuate},
      title = {Recurrence of Strokes and Associated Factors at Laquintinie Hospital in Douala},
      journal = {Clinical Neurology and Neuroscience},
      volume = {5},
      number = {3},
      pages = {46-49},
      doi = {10.11648/j.cnn.20210503.12},
      url = {https://doi.org/10.11648/j.cnn.20210503.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cnn.20210503.12},
      abstract = {OVERVIEW: Stroke is the second leading cause of death in the world and the leading cause of non-traumatic disability in adults. Although the incidence of stroke has steadily declined in developed countries, the incidence in low- and middle-income countries like Cameroon continues to grow, accounting for 85% of the global burden of stroke. Whenever a stroke occurs, the patient, the patient's family and the physician want to know the risk of recurrence, its severity and the possibility of prevention. Few studies have focused on stroke recurrences and factors associated with Cameroon. OBJECTIVE: To determine the prevalence of recurrent stroke and the factors associated with Laquintinie Hospital in Douala. METHODOLOGY: We conducted a two-year retrospective study from January 1, 2016 to December 31, 2017 and five-month cross-sectional prospective from January 1, 2018 to May 31, 2018 at Laquintinie Hospital in Douala. Included were all patients hospitalized for stroke. RESULTS: We recruited 528 stroke patients, including 75 recidivists with a recurrence prevalence of 14.20%. The average age of recidivism was 65.82±12.75 years and 70.6% female. Factors statistically associated with recurrence were an antecedent of hypertension (OR=038 [0.152-0.98], P=0.045), the ischemic type of first stroke (OR=2.32 [1.04-5.17] P=0.04); females (OR=2.052 [1.20-3.4921]; P=0.007) and poor treatment compliance after first stroke (OR=0.399 [0.160-0.99] P=0.042). CONCLUSION: About 1 out of 6 (14.2%) survivors of a first stroke have recurrent stroke over the next 2 years at Laquintinie Hospital in Douala. The predictive factors for recurrence in this study were a history of hypertension, the ischemic type of stroke, female gender, and poor adherence to secondary prevention measures.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - Recurrence of Strokes and Associated Factors at Laquintinie Hospital in Douala
    AU  - Paul-Cedric Mbonda
    AU  - Daniele Mafo
    AU  - Jacques Doumbe
    AU  - Callixte Kuate
    Y1  - 2021/06/25
    PY  - 2021
    N1  - https://doi.org/10.11648/j.cnn.20210503.12
    DO  - 10.11648/j.cnn.20210503.12
    T2  - Clinical Neurology and Neuroscience
    JF  - Clinical Neurology and Neuroscience
    JO  - Clinical Neurology and Neuroscience
    SP  - 46
    EP  - 49
    PB  - Science Publishing Group
    SN  - 2578-8930
    UR  - https://doi.org/10.11648/j.cnn.20210503.12
    AB  - OVERVIEW: Stroke is the second leading cause of death in the world and the leading cause of non-traumatic disability in adults. Although the incidence of stroke has steadily declined in developed countries, the incidence in low- and middle-income countries like Cameroon continues to grow, accounting for 85% of the global burden of stroke. Whenever a stroke occurs, the patient, the patient's family and the physician want to know the risk of recurrence, its severity and the possibility of prevention. Few studies have focused on stroke recurrences and factors associated with Cameroon. OBJECTIVE: To determine the prevalence of recurrent stroke and the factors associated with Laquintinie Hospital in Douala. METHODOLOGY: We conducted a two-year retrospective study from January 1, 2016 to December 31, 2017 and five-month cross-sectional prospective from January 1, 2018 to May 31, 2018 at Laquintinie Hospital in Douala. Included were all patients hospitalized for stroke. RESULTS: We recruited 528 stroke patients, including 75 recidivists with a recurrence prevalence of 14.20%. The average age of recidivism was 65.82±12.75 years and 70.6% female. Factors statistically associated with recurrence were an antecedent of hypertension (OR=038 [0.152-0.98], P=0.045), the ischemic type of first stroke (OR=2.32 [1.04-5.17] P=0.04); females (OR=2.052 [1.20-3.4921]; P=0.007) and poor treatment compliance after first stroke (OR=0.399 [0.160-0.99] P=0.042). CONCLUSION: About 1 out of 6 (14.2%) survivors of a first stroke have recurrent stroke over the next 2 years at Laquintinie Hospital in Douala. The predictive factors for recurrence in this study were a history of hypertension, the ischemic type of stroke, female gender, and poor adherence to secondary prevention measures.
    VL  - 5
    IS  - 3
    ER  - 

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Author Information
  • Faculty of Medicine and Biomedical Sciences, University of Yaoundé 1, Yaoundé, Cameroon

  • Faculty of Health Sciences, Mountain University, Banganté, Cameroon

  • Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Douala, Cameroon

  • Faculty of Medicine and Biomedical Sciences, University of Yaoundé 1, Yaoundé, Cameroon

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