Clinical profile of adult stroke patients in Angola: a cross-sectional study.

in Scientific reports by Herculana Artur Gonçalves, João Adilson Gama Ricardo

TLDR

  • The study examined the clinical profile of stroke patients in a hospital in Angola, finding a high prevalence of ischemic strokes and a strong association between mRS scores and complications and hospitalization.

Abstract

Stroke is a leading cause of death and disability worldwide, and the greatest burden of this disease has been observed in low- and middle-income countries, which continue to face several challenges in stroke care. The objective of this study was to identify the clinical profile of Angolan stroke patients in a tertiary hospital in Luanda. A cross-sectional investigation was conducted at Clínica Sagrada Esperança in Angola a tertiary center, on stroke patients admitted to the neurology service. Data was collected from November 2022 to March 2023. We included all patients who were admitted to the emergency department. Patients under 18 years of age, who had a previous stroke ≥ 2 score on the modified Rankin scale (mRS), and had brain tumors were excluded. We identified 139 stroke patients. The mean age was 59.5 ± 13.5 years, most were male (65.5%). The ischemic stroke was the most prevalent subtype (73.4%). The mean length of stay was 8.3 ± 4.7 days. Higher mRS scores at discharge were associated with complications (p < 0.001) and prolonged hospitalization (p = 0.001). The most frequent risk factors were hypertension (96.5%), alcohol use (67.4%), and diabetes (29.6%). Our study provides crucial insights into the profile of stroke patients in Angola. The collected data are vital for informing effective preventive measures and improving patient care.

Overview

  • Focuses on the clinical profile of Angolan stroke patients in a tertiary hospital in Luanda.
  • A cross-sectional investigation was conducted on stroke patients admitted to the neurology service from November 2022 to March 2023.
  • The study aims to identify the clinical profile of stroke patients in Angola to inform effective preventive measures and improve patient care.

Comparative Analysis & Findings

  • The study identified 139 stroke patients, with a mean age of 59.5±13.5 years, and most were male (65.5%).
  • Ischemic stroke was the most prevalent subtype (73.4%), and the mean length of stay was 8.3±4.7 days.
  • Higher mRS scores at discharge were associated with complications (p<0.001) and prolonged hospitalization (p=0.001).

Implications and Future Directions

  • The study provides vital insights into the profile of stroke patients in Angola and informs effective preventive measures and improving patient care.
  • The data collected can be used to develop targeted interventions to reduce the burden of stroke in low- and middle-income countries like Angola.
  • Future studies can explore the risk factors and outcomes associated with stroke in different regions and populations.