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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Ischemic and Hemorrhagic Stroke in Bahir Dar, Ethiopia: A Retrospective Hospital-Based Study
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Ischemic and Hemorrhagic Stroke in Bahir Dar, Ethiopia: A Retrospective Hospital-Based Study

机译：埃塞俄比亚巴希尔达尔缺血性和出血性中风：基于回顾性的医院研究

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Introduction: The epidemiology of stroke in sub-Saharan countries is poorly characterized because of lack of population-based studies and national vital statistics systems with complete death registration. Objective: To describe risk factors, clinical presentations, the pattern of brain insult, and outcomes of stroke patients admitted to a hospital in Ethiopia. Method: A retrospective hospital-based study was conducted on 508 patients, 303 of whom had computed tomography proven stroke, who were admitted to medical wards of Felege Hiwot Referral Hospital, Bahir Dar Ethiopia, from February 2014 to August 2016. Results: From 508 patients with a clinical diagnosis of stroke, 303 patients had computed tomography and complete medical record. Of the latter, 63% were male and 32% were in the age group 61-70 years. The most common initial clinical presentation was hemiplegia (61%). Common risk factors documented with stroke were hypertension (36.3%), dyslipidemia (20.4%), atrial fibrillation (12.2%), and structural cardiac disease (9.2%). Ischemic stroke comprised 59.4%, whereas 40.6% were hemorrhagic stroke. Only 3.6% patients arrived at the hospital within 3 hours of onset of clinical symptoms. Among subjects with preexisting treated hypertension, 56% had discontinued antihypertensive medications. One third of patients with atrial fibrillation were on warfarin or aspirin. In-hospital mortality rate was 11%. The cerebral cortex was affected in 36.6%. Conclusion: Poor adherence to drugs and uncontrolled high blood pressure might have resulted in a high proportion of hemorrhagic stroke. Use of anticoagulants for atrial fibrillation should be standard in patient with risk factors for stroke in Ethiopia
机译：简介：撒哈拉国家中风流行病学的特点是由于缺乏基于人口的研究和全国重要统计系统，具有完整死亡登记。目的：描述风险因素，临床介绍，脑损害模式，脑卒中患者的结果，留在埃塞俄比亚医院的脑卒中患者。方法：在2014年2月至2016年2月至2016年8月至2016年8月，303名患者进行了基于508名患者的回顾性医院研究，其中303名已被验证的验证的中风，他被录取为Felege Hiwot Refer医院Bahir Dar Eviopia的医疗病房。结果：从508开始患有临床诊断中风的患者，303名患者已经计算了层析成像和完整的医疗记录。后者，63％是男性，32％的年龄组61-70岁。最常见的初始临床介绍是偏瘫（61％）。中风记录的常见风险因素是高血压（36.3％），血脂血症（20.4％），心房颤动（12.2％）和结构心脏病（9.2％）。缺血性卒中占59.4％，而40.6％是出血性卒中。只有3.6％的患者在临床症状的3小时内抵达医院。在预先存在治疗的高血压的受试者中，56％已经停止了抗高血压药物。有三分之一的心房颤动患者在华法林或阿司匹林上。住院医院死亡率为11％。脑皮质受到36.6％的影响。结论：对药物和不受控制的高血压可怜的粘附可能导致出血性卒中的高比例。在埃塞俄比亚中风危险因素的患者中，使用抗凝血剂对心房颤动的标准

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