دورية أكاديمية
Trends of frequency, mortality and risk factors among patients admitted with stroke from 2017 to 2019 to the medical ward at Kilimanjaro Christian Medical Centre hospital: a retrospective observational study.
| العنوان: | Trends of frequency, mortality and risk factors among patients admitted with stroke from 2017 to 2019 to the medical ward at Kilimanjaro Christian Medical Centre hospital: a retrospective observational study. |
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| المؤلفون: | Moshi B; Epidemiology and Applied Biostatistics, Kilimanjaro Christian Medical University College, Moshi, United Republic of Tanzania bekamoshi0306@gmail.com.; Department of Clinical research, Kilimanjaro Clinical Research Institute, Moshi, United Republic of Tanzania., Yongolo N; Department of Clinical research, Kilimanjaro Clinical Research Institute, Moshi, United Republic of Tanzania.; Depatment of Epidemiology and Applied Biostatistics and Depatment of Internal Medicine, Kilimanjaro Christian Medical University College, Moshi, United Republic of Tanzania., Biswaro SM; Department of Clinical research, Kilimanjaro Clinical Research Institute, Moshi, United Republic of Tanzania.; Department of Internal Medicine, Kilimanjaro Christian Medical Centre, Moshi, United Republic of Tanzania., Maro H; Depatment of Epidemiology and Applied Biostatistics and Depatment of Internal Medicine, Kilimanjaro Christian Medical University College, Moshi, United Republic of Tanzania.; Department of Epidemiology, Tanzania Health Promotion Support (THPS), Moshi, United Republic of Tanzania., Linus S; Department of Clinical research, Kilimanjaro Clinical Research Institute, Moshi, United Republic of Tanzania.; Depatment of Epidemiology and Applied Biostatistics and Depatment of Internal Medicine, Kilimanjaro Christian Medical University College, Moshi, United Republic of Tanzania., Siebert S; Institute of Infection, Immunity and Inflammation, University of Glasgow, Glasgow, UK.; Depatment of Inflammation Medicine and Rheumatology, Health Economics and Health Technology Assessment (HEHTA), University of Glasgow Institute of Health and Wellbeing, Glasgow, UK., Nkenguye W; Depatment of Epidemiology and Applied Biostatistics and Depatment of Internal Medicine, Kilimanjaro Christian Medical University College, Moshi, United Republic of Tanzania., McIntosh E; Depatment of Inflammation Medicine and Rheumatology, Health Economics and Health Technology Assessment (HEHTA), University of Glasgow Institute of Health and Wellbeing, Glasgow, UK., Shirima F; Department of Clinical research, Kilimanjaro Clinical Research Institute, Moshi, United Republic of Tanzania.; Department of Internal Medicine, Kilimanjaro Christian Medical Centre, Moshi, United Republic of Tanzania., Njau RE; Department of Clinical research, Kilimanjaro Clinical Research Institute, Moshi, United Republic of Tanzania.; Department of Internal Medicine, Kilimanjaro Christian Medical Centre, Moshi, United Republic of Tanzania., Andongolile AA; Department of Clinical research, Kilimanjaro Clinical Research Institute, Moshi, United Republic of Tanzania.; Depatment of Epidemiology and Applied Biostatistics and Depatment of Internal Medicine, Kilimanjaro Christian Medical University College, Moshi, United Republic of Tanzania., Mwanswila MJ; Department of Clinical research, Kilimanjaro Clinical Research Institute, Moshi, United Republic of Tanzania.; Department of Internal Medicine, Kilimanjaro Christian Medical Centre, Moshi, United Republic of Tanzania., Halliday JEB; School of Biodiversity, One Health and Veterinary Medicine, University of Glasgow, Glasgow, London, UK., Krauth S; Depatment of Inflammation Medicine and Rheumatology, Health Economics and Health Technology Assessment (HEHTA), University of Glasgow Institute of Health and Wellbeing, Glasgow, UK.; School of Biodiversity, One Health and Veterinary Medicine, University of Glasgow, Glasgow, London, UK., Kilonzo K; Depatment of Epidemiology and Applied Biostatistics and Depatment of Internal Medicine, Kilimanjaro Christian Medical University College, Moshi, United Republic of Tanzania.; Department of Internal Medicine, Kilimanjaro Christian Medical Centre, Moshi, United Republic of Tanzania., Walker RW; Depatment of One health and Veterinary Medicine, Newcastle University, Newcastle upon Tyne, UK., Temu GA; Depatment of Epidemiology and Applied Biostatistics and Depatment of Internal Medicine, Kilimanjaro Christian Medical University College, Moshi, United Republic of Tanzania.; Department of Internal Medicine, Kilimanjaro Christian Medical Centre, Moshi, United Republic of Tanzania., Mmbaga BT; Department of Clinical research, Kilimanjaro Clinical Research Institute, Moshi, United Republic of Tanzania.; Depatment of Epidemiology and Applied Biostatistics and Depatment of Internal Medicine, Kilimanjaro Christian Medical University College, Moshi, United Republic of Tanzania. |
| المصدر: | BMJ open [BMJ Open] 2023 Jul 31; Vol. 13 (7), pp. e071918. Date of Electronic Publication: 2023 Jul 31. |
| نوع المنشور: | Observational Study; Journal Article; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: BMJ Publishing Group Ltd Country of Publication: England NLM ID: 101552874 Publication Model: Electronic Cited Medium: Internet ISSN: 2044-6055 (Electronic) Linking ISSN: 20446055 NLM ISO Abbreviation: BMJ Open Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: [London] : BMJ Publishing Group Ltd, 2011- |
| مواضيع طبية MeSH: | Stroke*/epidemiology, Adult ; Humans ; Male ; Female ; Retrospective Studies ; Tanzania/epidemiology ; Risk Factors ; Tertiary Care Centers |
| مستخلص: | Objective: The burden of stroke has increased in recent years worldwide, particularly in low-income and middle-income countries. In this study we aim to determine the number of stroke admissions, and associated comorbidities, at a referral hospital in Northern Tanzania. Design: This was a retrospective observational study. Setting: The study was conducted at a tertiary referral hospital, Kilimanjaro Christian Medical Centre (KCMC), in the orthern zone of Tanzania. Participants: The study included adults aged 18 years and above, who were admitted to the medical wards from 2017 to 2019. Outcome: The primary outcome was the proportion of patients who had a stroke admitted in the medical ward at KCMC and the secondary outcome was clinical outcome such as mortality. Methods: We conducted a retrospective audit of medical records from 2017 to 2019 for adult patients admitted to the medical ward at KCMC. Data extracted included demographic characteristics, previous history of stroke and outcome of the admission. Factors associated with stroke were investigated using logistic regression. Results: Among 7976 patients admitted between 2017 and 2019, 972 (12.2%) were patients who had a stroke. Trends show an increase in patients admitted with stroke over the 3 years with 222, 292 and 458 in 2017, 2018 and 2019, respectively. Of the patients who had a stroke, 568 (58.4%) had hypertension while 167 (17.2%) had diabetes mellitus. The proportion of admitted stroke patients aged 18-45 years, increased from 2017 (n=28, 3.4%) to 2019 (n=40, 4.3%). The in-hospital mortality related to stroke was 229 (23.6%) among 972 patients who had a stroke and female patients had 50% higher odds of death as compared with male patients (OR:1.5; CI 1.30 to 1.80). Conclusion: The burden of stroke on individuals and health services is increasing over time, which reflects a lack of awareness on the cause of stroke and effective preventive measures. Prioritising interventions directed towards the reduction of non-communicable diseases and associated complications, such as stroke, is urgently needed. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY. Published by BMJ.) |
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| معلومات مُعتمدة: | D43 TW012205 United States TW FIC NIH HHS; 17/63/35 United Kingdom DH_ Department of Health |
| فهرسة مساهمة: | Keywords: GENERAL MEDICINE (see Internal Medicine); STROKE MEDICINE; Stroke; Stroke medicine |
| تواريخ الأحداث: | Date Created: 20230731 Date Completed: 20230803 Latest Revision: 20240702 |
| رمز التحديث: | 20240702 |
| مُعرف محوري في PubMed: | PMC10391824 |
| DOI: | 10.1136/bmjopen-2023-071918 |
| PMID: | 37524544 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2044-6055 |
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| DOI: | 10.1136/bmjopen-2023-071918 |