Survival in Hospital and Predictor of Mortality Among Adult Stroke Patients in Saint Paul’s Hospital Millennium Medical College Addis Abeba Ethiopia, 2019.
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Date
2019-06
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Addis Ababa University
Abstract
Background: Stroke is sudden loss of blood supply to the brain leading to permanent tissue damage caused by, embolic, thrombotic or hemorrhagic events. Almost 85% of strokes are ischemic stroke.
Stroke is ‘silent’ brain, retinal and spinal infarcts and silent cerebral hemorrhages. Stroke is typically characterized by a neurological deficit attributed to an acute focal injury of the central nervous system by a vascular cause, like, Intracerebral hemorrhage subarachnoid hemorrhage and cerebral infarction. When we see death due to stroke separately from other cardiovascular diseases, stroke led the fifth among all causes of death, behind diseases of the heart, cancer, chronic lower respiratory disease, and unintentional injuries/accidents.
Objectives: To assess survival in hospital and predictor of mortality among adult stroke patient in Saint Paul’s Hospital millennium Medical College Addis Ababa Ethiopia 2019
Methodology: Institution based Retrospective cohort was conducted. Patients who were admitted to SPHMMC from January 2016 to December 2018, with a primary diagnosis of stroke (Ischemic Stroke or Hemorrhage stroke) Data entered to Epi-Data version 4.3 and analyzed using SPSS 24 statistical software. Predictor with p-value <0.05 will be considered as significant association with stroke mortality in multivariate cox regression.
Results: Totally 251 stroke patients chart were included in this study among those 128 (51%) were female and 123 (49%) were male stroke patient, 135(53.8%) hemorrhagic stroke and 116 (46.2%) ischemic Stroke. the overall incidence rate was 9.5 deaths per 1000 person-day observations. The overall mean and median survival time of adult stroke patient was 178 and 79 days respectively. GCS level less than nine has lower survival time with mean survival time of 28.135 with (95% CI: 11.285-44.986).
Conclusion: In the current study, nearly one third of the patients were died during the follow up period. Predictor of mortality with adult stroke patients was decreased GCS and presence of pneumonia.
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Stroke, survival, event and predictor of stroke mortal