刚果病人中风的全身性疾病和预后:一项横断面研究。

Q3 Medicine
Marc Tshilanda, Ulrick S Kanmounye, Remy Kapongo, Michel Tshiasuma
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引用次数: 1

摘要

在发展中国家,中风是导致死亡、残疾和痴呆的主要原因之一。我们的研究旨在评估在卒中发生后72小时内入院患者的全身性疾病与死亡率的关系。环境:研究在金沙萨的一家三级医院进行。参与者:在卒中发生后72小时内入院的患者。干预措施:这项横断面研究包括对2016年1月至2018年12月的中风患者记录进行回顾性审查。皮尔逊-卡方检验和优势比计算,显著性阈值为0.05。主要结局指标:死亡率。结果:纳入病例114例。平均年龄61.8±2.4岁,性别比为1.78,男性居多。高血压(76.3%)、血脂异常(71.1%)和糖尿病(58.8%)是最常见的合并症。多数患者出现缺氧(85.9%)、高血压(82.4%)、高血糖(57.8%)和发热(28.1%)。我们记录了32例死亡(28.1%):20例(62.5%)死于缺血性中风,12例(37.5%)死于出血性中风。预后最差的全身性疾病是动脉低血压(OR=3.87, p < 0.001)和发热(OR= 1.56, p = 0.047)。结论:动脉低血压和发烧对卒中患者的预后有不利影响,卒中是刚果高死亡率的原因。资金:不适用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Systemic disorders and the prognosis of stroke in Congolese patients: a cross-sectional study.

Objectives: Stroke is one of the leading causes of death, disability, and dementia in developing countries. Our study aimed to evaluate the systemic disorders associated with mortality in patients admitted within 72 hours of the initial stroke event.

Setting: The study took place at a tertiary hospital in Kinshasa.

Participants: Patients admitted within 72 hours of the initial stroke event.

Interventions: This cross-sectional study consisted of a retrospective review of stroke patient records from January 2016 to December 2018. The Pearson-Chi square test and odds ratios were calculated with a threshold of significance of 0.05.

Main outcome measures: Mortality.

Results: We recruited 114 cases. The mean age was 61.8 ± 2.4 years, and the sex ratio was 1.78 in favor of men. Hypertension (76.3%), dyslipidemia (71.1%), and diabetes mellitus (58.8%) were the most frequent comorbidities. Most patients had hypoxia (85.9%), hypertension (82.4%), hyperglycemia (57.8%), and fever (28.1%). We registered thirty-two deaths (28.1%): 20 (62.5%) from the ischemic strokes, and 12 (37.5%) from hemorrhagic strokes. Systemic disorders with the worst prognosis during were arterial hypotension (OR=3.87, p >0.001), and fever (OR =1.56, p = 0.047).

Conclusion: Arterial hypotension and fever adversely affect stroke patient outcomes, and strokes are responsible for high mortality in Congo.

Funding: Not applicable.

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来源期刊
Ghana Medical Journal
Ghana Medical Journal Medicine-Medicine (all)
CiteScore
1.10
自引率
0.00%
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0
审稿时长
20 weeks
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