Prevalence, Nursing Managements and Patients‟ Outcomes Among Stroke Patients Admitted to Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia, 2018
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Date
2018-06
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Addis Ababa University
Abstract
Introduction: Stroke is becoming the leading cause of morbidity and mortality throughout the Globe. However, there is paucity of data on the prevalence, nursing managements and outcomes of stroke patients in Ethiopia.
Objective: The aim of this study is to determine the prevalence, nursing managements provided and stroke patient‟s outcomes.
Methodology: Retrospective cross sectional study design was conducted among all new stroke patients admitted to TASH from July1/2015 to Feb30/2018, Addis Ababa, Ethiopia.
Results: In this study stroke prevalence was 19.3%. Ischemic stroke was commonest of stroke which is 87 (51.2%) with an ischemic to hemorrhagic stroke ratio of 1.36:1. Ten-years increase in patients‟ age leads to a 25% higher risk for ischemic stroke. Patients‟ with age groups of >=65 years had (OR=7.463 95%CI (2.101, 26.508) )7.463 folds‟ higher risk of getting ischemic stroke than younger patients. Hemiplegia/paresis was the most frequent clinical presentation occurred in 77.1% of all stroke patients. Hypertension was the commonest comorbidity occurred in 50.1% of all stroke patients. The odds of hypertensive patients getting ischemic stroke is lower than getting hemorrhagic stroke (OR=0.246, P<0.001, CI 95% (0.112, 0.542)). Younger adults had 8.587 higher chances to improve free off complications than older adults did (OR=8.587 95%CI (2.417 ,30.501). Patients who early mobilized had an 8.991times higher chance of improved without complications (OR=8.991 95%CI (2.992,27.019). Aspiration pneumonia was the leading cause of death accounting for 39% of all causes
Conclusion and Recommendations: Stroke in Ethiopia is on rise. The occurrence rises with age with peak between 35 to 65 years. Younger adult patients (18-34 years) were 18.2% of patients, which is more dangerous in view of the early occurrences of stroke, which leads for a higher and prolonged disability adjusted life years. A prospective hospital and community based stroke incidence, prevalence and nursing managements studies are required to define the true socio-demographic characteristics of stroke and the associated factors in our population.
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Keywords
stroke, stroke prevalence, nursing management, patients‟ outcome, chart review