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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Early Mortality and Associated Factors among Patients with Stroke Admitted to a Large Teaching Hospital in Tanzania
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Early Mortality and Associated Factors among Patients with Stroke Admitted to a Large Teaching Hospital in Tanzania

机译：中风患者的早期死亡率和相关因素达到坦桑尼亚大型教学医院

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Background: Stroke is a major cause of death worldwide and 85.5% of stroke deaths occur in low-and middle-income countries due to stroke. The aim of this study was to investigate correlates and predictors of 30-day mortality in stroke patients in urban Tanzania. Methods: A prospective 30-day follow-up study was conducted at the Muhimbili National Hospital, Dar es Salaam, Tanzania. We recruited all patients with stroke seen at the Emergency Medicine Department and medical wards. Patients underwent medical history and physical examination including full neurological examination. For those who met the criteria for the diagnosis of stroke according to the World Health Organization, further data were collected, including cholesterol, creatinine, fasting blood glucose, full blood picture, human immunodeficiency virus serology, and electrocardiogram. Patients were followed up at 30 days from the date of stroke onset. The date and the cause of death of those participants who died within 30 days of stroke onset were recorded. Results: A total of 224 patients were recruited into the study, with follow-up data available on 186 (83.0%). At 30 days post stroke, 124 patients (66.7%) were still alive. Mortality was significantly higher among stroke patients who were over 65 years of age. Of the 62 who died, 54% died of aspiration pneumonia and 21% of septicemia. Patients with infection were 4.4 times more likely to die than those without (P =.001). Conclusions: Poststroke mortality rates were high. Many deaths were potentially preventable. (C) 2017 Published by Elsevier Inc. on behalf of National Stroke Association. All rights reserved.
机译：背景：中风是全世界的主要死亡原因，85.5%的中风死亡发生在中低收入国家。本研究的目的是调查坦桑尼亚城市中风患者30天死亡率的相关因素和预测因素。方法：在坦桑尼亚达累斯萨拉姆Muhimbili国立医院进行为期30天的前瞻性随访研究。我们招募了急诊科和内科病房的所有中风患者。患者接受病史和体检，包括全面的神经系统检查。对于符合世界卫生组织中风诊断标准的人，进一步收集数据，包括胆固醇、肌酐、空腹血糖、全血图片、人类免疫缺陷病毒血清学和心电图。患者在中风发病后30天进行随访。记录中风发病后30天内死亡的参与者的死亡日期和原因。结果：共有224名患者被纳入研究，有186名患者（83.0%）的随访数据可用。在卒中后30天，124名患者（66.7%）仍然活着。65岁以上的中风患者的死亡率明显较高。在62名死亡者中，54%死于吸入性肺炎，21%死于败血症。感染患者的死亡率是未感染患者的4.4倍（P=0.001）。结论：卒中后死亡率很高。许多死亡可能是可以预防的。（C） 2017年由爱思唯尔公司代表美国中风协会出版。版权所有。

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