Predictive Factors of Mortality of Stroke in the Neurology Department of Hujr of Befelatanana in Antananarivo

Abstract

Introduction: Stroke is a major public health problem in the world. In Madagascar, mortality from strokes is still relevant. Eval-uating 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 priori-ties.