Epidemiology of Stroke: A Senegalese Study - Abstract
Strokes is a public health problem due to their direct annual costs relating to hospital care, related fees and their indirect annual costs linked to the consequences of remaining disability. Stroke is one of the leading causes of morbidity and mortality worldwide. Therefore, epidemiological studies in different parts of the world are needed. The overall objective of this study was to describe the epidemiology of stroke of patients received at the neurology unit of the Retirement Care Center of Dakar in IPRES. It was a retrospective study conducted from January 2010 to April 2016, using patient’s medical files. Among 1400 consulted patients, 275 (19.6%) were enrolled in our study. The mean age was 71.8 ± 8.7 years old (extremes: 43-101) with a male predominance (66.2%). Concerning the brain CT-scan, 243 patients (88.4%) presented cerebral infarct. The main risk factors were high blood pressure HBP (80%), diabetes (17.1%) and history of stroke (14.2%). Frequent complications encountered were epilepsy (11.5%) and vascular dementia (8.7%), motor disability (6.5%) and stroke recurrence (6%). Approximately 22 deaths have been noted giving a lethality rate of 12.02%. Most patients (54,44%) experienced clinical improvement. Stroke represents a major public health problem. It is therefore necessary to fight against stroke by early diagnosis and management of risk factors including HBP, especially among the elderly.