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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Acute Stroke Type, Risk Factors, and Early Outcome in a Developing Country: A View From Sudan Using a Hospital-Based Sample
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Acute Stroke Type, Risk Factors, and Early Outcome in a Developing Country: A View From Sudan Using a Hospital-Based Sample

机译:发展中国家的急性中风类型,危险因素和早期结果:苏丹使用医院样本的观点

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摘要

This hospital-based prospective study was conducted to determine stroke type, risk factors, and early outcome in patients admitted with acute stroke in both Khartoum and Shaab hospitals located in the capital city of Sudan. Consecutive stroke patients presenting within 48 hours of onset were included in the study. Data were obtained from history taking, physical examination, and investigations. Cranial computed tomography (CT) scanning was performed on 18 patients. The diagnosis of stroke type in patients who did not have CT examination was determined by clinical criteria. Ninety-six patients, 56 males and 40 females, were studied. The peak age group was 61 to 80 years. Stroke caused by infarction was found in 58.3% while stroke caused by hemorrhage was found in 41.6%. Hypertension was the most common associated risk factor, constituting 46.9%. Cardiac disease was found in 16%, diabetes mellitus in 14.6%, syphilis in 4.1%, and previous transient ischemic attack in 2.1%. The overall mortality was higher than in western countries. Risk factors for stroke in Sudan are the same as elsewhere; however, the peak age group is one decade earlier than in developed countries. In developing countries, promoting hypertension and acute stroke health care programs are essential to cutting morbidity and mortality rates.
机译:这项基于医院的前瞻性研究旨在确定位于苏丹首都喀土穆和Shaab医院的急性中风患者的中风类型,危险因素和早期结果。发病48小时内出现的连续性中风患者被纳入研究。数据来自历史记录,体格检查和调查。对18例患者进行了颅骨计算机断层扫描(CT)扫描。没有进行CT检查的患者中风类型的诊断由临床标准确定。研究了96例患者,其中男性56例,女性40例。最高年龄段为61至80岁。梗死引起的中风占58.3%,出血引起的中风占41.6%。高血压是最常见的相关危险因素,占46.9%。发现心脏疾病的比例为16%,糖尿病为14.6%,梅毒为4.1%,先前的短暂性脑缺血发作为2.1%。总死亡率高于西方国家。苏丹中风的危险因素与其他地方相同;但是,高峰年龄组比发达国家早十年。在发展中国家,促进高血压和急性中风保健计划对于降低发病率和死亡率至关重要。

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