Prognostic factors associated with mortality related to stroke in Bangui (Central African Republic).

Abstract

Introduction
Stroke is a very common neurological condition that cause pertinent disability in half of the cases, especially in sub-Saharan Africa. They represent the second most common cause of death in Africa.
Objective
To evaluate the prognostic value of the intake period of patients suffering from these conditions on the survival time of one month of hospitalization at Bangui, Central African Republic.
Methodology
We conducted a cross-sectional study at the Neurological Departments of friendship Sino-Central hospital, Internal Medicine Department of the community hospital and intensive care units of these hospitals from February to August 2019. Data were collected using a questionnaire based on the modified World Health Organization‘s one on neurological disorders.
Results
A total of 154 patients were included, with a mean age of 63.15 ±10.98 years and extremes ranging from 38 to 91 years. A male predominance was noted (60%) with a sex ratio (M/F) of 1.5. For 75 subjects (49.35%), care was taken with a hospital admission period of less than 24 hours, while for 78 other (50.65%) the admission period was more than one day. The average time to admission of patients received early was 1.00 day and the time to admission of those who came late was 4.9±2.33 days with a statistical significant difference (p < 0.0001). Median admission delay for patients treated late was 4 days. Pre-hospital and hospital determinants by admission delay were level of education of patients, history of hypertension, infectious complications of stroke and bedsores. The survival time was better in the group of patients who were treated early (p=0.0039).
Conclusion
This study shows the negative impact of late management on the survival time of patients.