Recurrence of Strokes and Associated Factors at Laquintinie Hospital in Douala

Paul-Cedric Mbonda; Daniele Mafo; Jacques Doumbe; Callixte Kuate

doi:doi:10.11648/j.cnn.20210503.12

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Recurrence of Strokes and Associated Factors at Laquintinie Hospital in Douala

Paul-Cedric Mbonda, Daniele Mafo, Jacques Doumbe, Callixte Kuate

Published in Clinical Neurology and Neuroscience (Volume 5, Issue 3)

Received: 22 May 2021 Accepted: 17 June 2021 Published: 25 June 2021

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Abstract

OVERVIEW: Stroke is the second leading cause of death in the world and the leading cause of non-traumatic disability in adults. Although the incidence of stroke has steadily declined in developed countries, the incidence in low- and middle-income countries like Cameroon continues to grow, accounting for 85% of the global burden of stroke. Whenever a stroke occurs, the patient, the patient's family and the physician want to know the risk of recurrence, its severity and the possibility of prevention. Few studies have focused on stroke recurrences and factors associated with Cameroon. OBJECTIVE: To determine the prevalence of recurrent stroke and the factors associated with Laquintinie Hospital in Douala. METHODOLOGY: We conducted a two-year retrospective study from January 1, 2016 to December 31, 2017 and five-month cross-sectional prospective from January 1, 2018 to May 31, 2018 at Laquintinie Hospital in Douala. Included were all patients hospitalized for stroke. RESULTS: We recruited 528 stroke patients, including 75 recidivists with a recurrence prevalence of 14.20%. The average age of recidivism was 65.82±12.75 years and 70.6% female. Factors statistically associated with recurrence were an antecedent of hypertension (OR=038 [0.152-0.98], P=0.045), the ischemic type of first stroke (OR=2.32 [1.04-5.17] P=0.04); females (OR=2.052 [1.20-3.4921]; P=0.007) and poor treatment compliance after first stroke (OR=0.399 [0.160-0.99] P=0.042). CONCLUSION: About 1 out of 6 (14.2%) survivors of a first stroke have recurrent stroke over the next 2 years at Laquintinie Hospital in Douala. The predictive factors for recurrence in this study were a history of hypertension, the ischemic type of stroke, female gender, and poor adherence to secondary prevention measures.

Published in	Clinical Neurology and Neuroscience (Volume 5, Issue 3)
DOI	10.11648/j.cnn.20210503.12
Page(s)	46-49
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Recurrence, Stroke, Risk Factors

References

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APA Style

Paul-Cedric Mbonda, Daniele Mafo, Jacques Doumbe, Callixte Kuate. (2021). Recurrence of Strokes and Associated Factors at Laquintinie Hospital in Douala. Clinical Neurology and Neuroscience, 5(3), 46-49. https://doi.org/10.11648/j.cnn.20210503.12

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ACS Style

Paul-Cedric Mbonda; Daniele Mafo; Jacques Doumbe; Callixte Kuate. Recurrence of Strokes and Associated Factors at Laquintinie Hospital in Douala. Clin. Neurol. Neurosci. 2021, 5(3), 46-49. doi: 10.11648/j.cnn.20210503.12

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AMA Style

Paul-Cedric Mbonda, Daniele Mafo, Jacques Doumbe, Callixte Kuate. Recurrence of Strokes and Associated Factors at Laquintinie Hospital in Douala. Clin Neurol Neurosci. 2021;5(3):46-49. doi: 10.11648/j.cnn.20210503.12

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@article{10.11648/j.cnn.20210503.12,
  author = {Paul-Cedric Mbonda and Daniele Mafo and Jacques Doumbe and Callixte Kuate},
  title = {Recurrence of Strokes and Associated Factors at Laquintinie Hospital in Douala},
  journal = {Clinical Neurology and Neuroscience},
  volume = {5},
  number = {3},
  pages = {46-49},
  doi = {10.11648/j.cnn.20210503.12},
  url = {https://doi.org/10.11648/j.cnn.20210503.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cnn.20210503.12},
  abstract = {OVERVIEW: Stroke is the second leading cause of death in the world and the leading cause of non-traumatic disability in adults. Although the incidence of stroke has steadily declined in developed countries, the incidence in low- and middle-income countries like Cameroon continues to grow, accounting for 85% of the global burden of stroke. Whenever a stroke occurs, the patient, the patient's family and the physician want to know the risk of recurrence, its severity and the possibility of prevention. Few studies have focused on stroke recurrences and factors associated with Cameroon. OBJECTIVE: To determine the prevalence of recurrent stroke and the factors associated with Laquintinie Hospital in Douala. METHODOLOGY: We conducted a two-year retrospective study from January 1, 2016 to December 31, 2017 and five-month cross-sectional prospective from January 1, 2018 to May 31, 2018 at Laquintinie Hospital in Douala. Included were all patients hospitalized for stroke. RESULTS: We recruited 528 stroke patients, including 75 recidivists with a recurrence prevalence of 14.20%. The average age of recidivism was 65.82±12.75 years and 70.6% female. Factors statistically associated with recurrence were an antecedent of hypertension (OR=038 [0.152-0.98], P=0.045), the ischemic type of first stroke (OR=2.32 [1.04-5.17] P=0.04); females (OR=2.052 [1.20-3.4921]; P=0.007) and poor treatment compliance after first stroke (OR=0.399 [0.160-0.99] P=0.042). CONCLUSION: About 1 out of 6 (14.2%) survivors of a first stroke have recurrent stroke over the next 2 years at Laquintinie Hospital in Douala. The predictive factors for recurrence in this study were a history of hypertension, the ischemic type of stroke, female gender, and poor adherence to secondary prevention measures.},
 year = {2021}
}

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TY - JOUR
T1 - Recurrence of Strokes and Associated Factors at Laquintinie Hospital in Douala
AU - Paul-Cedric Mbonda
AU - Daniele Mafo
AU - Jacques Doumbe
AU - Callixte Kuate
Y1 - 2021/06/25
PY - 2021
N1 - https://doi.org/10.11648/j.cnn.20210503.12
DO - 10.11648/j.cnn.20210503.12
T2 - Clinical Neurology and Neuroscience
JF - Clinical Neurology and Neuroscience
JO - Clinical Neurology and Neuroscience
SP - 46
EP - 49
PB - Science Publishing Group
SN - 2578-8930
UR - https://doi.org/10.11648/j.cnn.20210503.12
AB - OVERVIEW: Stroke is the second leading cause of death in the world and the leading cause of non-traumatic disability in adults. Although the incidence of stroke has steadily declined in developed countries, the incidence in low- and middle-income countries like Cameroon continues to grow, accounting for 85% of the global burden of stroke. Whenever a stroke occurs, the patient, the patient's family and the physician want to know the risk of recurrence, its severity and the possibility of prevention. Few studies have focused on stroke recurrences and factors associated with Cameroon. OBJECTIVE: To determine the prevalence of recurrent stroke and the factors associated with Laquintinie Hospital in Douala. METHODOLOGY: We conducted a two-year retrospective study from January 1, 2016 to December 31, 2017 and five-month cross-sectional prospective from January 1, 2018 to May 31, 2018 at Laquintinie Hospital in Douala. Included were all patients hospitalized for stroke. RESULTS: We recruited 528 stroke patients, including 75 recidivists with a recurrence prevalence of 14.20%. The average age of recidivism was 65.82±12.75 years and 70.6% female. Factors statistically associated with recurrence were an antecedent of hypertension (OR=038 [0.152-0.98], P=0.045), the ischemic type of first stroke (OR=2.32 [1.04-5.17] P=0.04); females (OR=2.052 [1.20-3.4921]; P=0.007) and poor treatment compliance after first stroke (OR=0.399 [0.160-0.99] P=0.042). CONCLUSION: About 1 out of 6 (14.2%) survivors of a first stroke have recurrent stroke over the next 2 years at Laquintinie Hospital in Douala. The predictive factors for recurrence in this study were a history of hypertension, the ischemic type of stroke, female gender, and poor adherence to secondary prevention measures.
VL - 5
IS - 3
ER -

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Author Information

Paul-Cedric Mbonda

Faculty of Medicine and Biomedical Sciences, University of Yaoundé 1, Yaoundé, Cameroon
Daniele Mafo

Faculty of Health Sciences, Mountain University, Banganté, Cameroon
Jacques Doumbe

Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Douala, Cameroon
Callixte Kuate

Faculty of Medicine and Biomedical Sciences, University of Yaoundé 1, Yaoundé, Cameroon

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APA Style

Paul-Cedric Mbonda, Daniele Mafo, Jacques Doumbe, Callixte Kuate. (2021). Recurrence of Strokes and Associated Factors at Laquintinie Hospital in Douala. Clinical Neurology and Neuroscience, 5(3), 46-49. https://doi.org/10.11648/j.cnn.20210503.12

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ACS Style

Paul-Cedric Mbonda; Daniele Mafo; Jacques Doumbe; Callixte Kuate. Recurrence of Strokes and Associated Factors at Laquintinie Hospital in Douala. Clin. Neurol. Neurosci. 2021, 5(3), 46-49. doi: 10.11648/j.cnn.20210503.12

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AMA Style

Paul-Cedric Mbonda, Daniele Mafo, Jacques Doumbe, Callixte Kuate. Recurrence of Strokes and Associated Factors at Laquintinie Hospital in Douala. Clin Neurol Neurosci. 2021;5(3):46-49. doi: 10.11648/j.cnn.20210503.12

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@article{10.11648/j.cnn.20210503.12,
  author = {Paul-Cedric Mbonda and Daniele Mafo and Jacques Doumbe and Callixte Kuate},
  title = {Recurrence of Strokes and Associated Factors at Laquintinie Hospital in Douala},
  journal = {Clinical Neurology and Neuroscience},
  volume = {5},
  number = {3},
  pages = {46-49},
  doi = {10.11648/j.cnn.20210503.12},
  url = {https://doi.org/10.11648/j.cnn.20210503.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cnn.20210503.12},
  abstract = {OVERVIEW: Stroke is the second leading cause of death in the world and the leading cause of non-traumatic disability in adults. Although the incidence of stroke has steadily declined in developed countries, the incidence in low- and middle-income countries like Cameroon continues to grow, accounting for 85% of the global burden of stroke. Whenever a stroke occurs, the patient, the patient's family and the physician want to know the risk of recurrence, its severity and the possibility of prevention. Few studies have focused on stroke recurrences and factors associated with Cameroon. OBJECTIVE: To determine the prevalence of recurrent stroke and the factors associated with Laquintinie Hospital in Douala. METHODOLOGY: We conducted a two-year retrospective study from January 1, 2016 to December 31, 2017 and five-month cross-sectional prospective from January 1, 2018 to May 31, 2018 at Laquintinie Hospital in Douala. Included were all patients hospitalized for stroke. RESULTS: We recruited 528 stroke patients, including 75 recidivists with a recurrence prevalence of 14.20%. The average age of recidivism was 65.82±12.75 years and 70.6% female. Factors statistically associated with recurrence were an antecedent of hypertension (OR=038 [0.152-0.98], P=0.045), the ischemic type of first stroke (OR=2.32 [1.04-5.17] P=0.04); females (OR=2.052 [1.20-3.4921]; P=0.007) and poor treatment compliance after first stroke (OR=0.399 [0.160-0.99] P=0.042). CONCLUSION: About 1 out of 6 (14.2%) survivors of a first stroke have recurrent stroke over the next 2 years at Laquintinie Hospital in Douala. The predictive factors for recurrence in this study were a history of hypertension, the ischemic type of stroke, female gender, and poor adherence to secondary prevention measures.},
 year = {2021}
}

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