Stroke case fatality in sub-Saharan Africa
| العنوان: | Stroke case fatality in sub-Saharan Africa |
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| المؤلفون: | Pierre-Marie Preux, Oyéné Kossi, Julien Magne, Pervenche Fotso Mefo, Dismand Houinato, Philippe Lacroix, Thierry Adoukonou, Mendinatou Agbétou, Glwadys Gbaguidi |
| المساهمون: | Clinical sciences, Neuroépidémiologie Tropicale (NET), Institut Génomique, Environnement, Immunité, Santé, Thérapeutique (GEIST), Université de Limoges (UNILIM)-Université de Limoges (UNILIM)-CHU Limoges-Institut d'Epidémiologie Neurologique et de Neurologie Tropicale-Institut National de la Santé et de la Recherche Médicale (INSERM), Université de Parakou (UP), University of Parakou, Plate forme de bioinformatique et biostatistique (CEBIMER), Université de Limoges (UNILIM)-Université de Limoges (UNILIM), Service de cardiologie [CHU Limoges], CHU Limoges, Service de l'Information Médicale et de l'Évaluation [CHU Limoges] (SIME), Laboratoire de Biostatistique et d'Informatique Médicale, Université de Limoges (UNILIM), Laboratory of Chronic and Neurological Diseases Epidemiology (LEMACEN), University of Abomey Calavi (UAC), Service de Chirurgie Thoracique et Vasculaire - Médecine vasculaire [CHU Limoges] |
| المصدر: | International Journal of Stroke International Journal of Stroke, Wiley, 2021, pp.174749302199094. ⟨10.1177/1747493021990945⟩ |
| بيانات النشر: | Wiley-Blackwell, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | medicine.medical_specialty, Sub saharan, Databases, Factual, One month, Stroke/epidemiology, 03 medical and health sciences, 0302 clinical medicine, Case fatality rate, medicine, Humans, risk factors, 030212 general & internal medicine, Case fatality, Stroke, Africa South of the Sahara, Sub-Saharan Africa, business.industry, medicine.disease, Africa South of the Sahara/epidemiology, 3. Good health, Neurology, Meta-analysis, Emergency medicine, Systematic review, [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie, business, Cardiology and Cardiovascular Medicine, 030217 neurology & neurosurgery |
| الوصف: | Background The burden of stroke is high in sub-Saharan Africa; however, few data are available on long-term mortality. Objective To estimate over one-month stroke case fatality in sub-Saharan Africa. Methods A systematic review and meta-analysis were performed according to meta-analysis of observational studies in epidemiology and Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines (PROSPERO protocol: CRD42020192439), on five electronic databases (PubMed, Science direct, AJOL, EMBASE, and Web of Sciences). We searched all studies on stroke case fatality over one month in sub-Saharan Africa published between 1st January 2000 and 31st December 2019. Results We included 91 studies with a total of 34,362 stroke cases. The one-month pooled stroke case-fatality rate was 24.1% [95% CI: 21.5–27.0] and 33.2% [95% CI: 23.6–44.5] at one year. At three and five years, the case-fatality rates were respectively 40.1% [95% CI: 20.8–63.0] and 39.4% [95% CI: 14.3–71.5] with high heterogeneity. Hemorrhagic stroke was associated with a higher risk of mortality at one month, but ischemic stroke increased the risk of mortality over six months. Diabetes was associated with poor prognosis at 6 and 12 months with odds ratios of 1.64 [95% CI: 1.22–2.20] and 1.85 [1.25–2.75], respectively. Conclusion The stroke case fatality over one month was very high, compared to case fatalities reported in Western countries and can be explained by a weak healthcare systems and vascular risk factors. |
| اللغة: | English |
| تدمد: | 1747-4930 1747-4949 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::570c8962115212092aade8a7d6280a0e https://biblio.vub.ac.be/vubir/(2d93cd54-8819-41be-8535-2f9a0e67f9cf).html |
| حقوق: | CLOSED |
| رقم الأكسشن: | edsair.doi.dedup.....570c8962115212092aade8a7d6280a0e |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 17474930 17474949 |
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