Evidence map›Paper›PMID 28453817›Full record

ArticleInternational journal of epidemiology2017

Epidemiology of sudden cardiac death in Cameroon: the first population-based cohort survey in sub-Saharan Africa.

Aimé Bonny, Kemi Tibazarwa, Samuel Mbouh, Jonas Wa, Réné Fonga, Cecile Saka, Marcus Ngantcha, Pan African Society of Cardiology (PASCAR) Task Force on Sudden Cardiac Death

Abstract read
In one paragraph

Article in International journal of epidemiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
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  15. Observational
  16. HIV and cardiovascular disease.The lancet. HIV · 2020
    Review
  17. Cardiac arrhythmias in low- and middle-income countries.Cardiovascular diagnosis and therapy · 2020
    Review
  18. Article
  19. Arrhythmia care in Africa.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2019
    Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Aimé BonnyCameroon Cardiovascular Research Network, Douala, Cameroon.
Kemi TibazarwaThe Jakaya Kikwete Cardiac Institute, Muhimbili National Hospital, Dar es Salaam, Tanzania.
Samuel MbouhInstitut national de la jeunesse et sport (INJS), Yaoundé, Cameroon.
Jonas WaHôpital de District de Bonassama, Douala, Cameroon.
Réné FongaHôpital de District de New-Bell, Douala, Cameroon.
Cecile SakaService de cardiologie, hôpital Laquintinie de Douala, Cameroon.
Marcus NgantchaCameroon Cardiovascular Research Network, Douala, Cameroon.
Pan African Society of Cardiology (PASCAR) Task Force on Sudden Cardiac Death

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Incidence estimates of sudden cardiac death (SCD) in sub-Saharan Africa (SSA) are unknown. Method: Over 12 months, the household administrative office and health community committee within neighbourhoods in two health areas of Douala, Cameroon, registered all deaths among 86 188 inhabitants aged >18 years. As part of an extended multi-source surveillance system, the Emergency Medical Service (EMS), local medical examiners and district hospital mortuaries were also surveyed. Whereas two physicians investigated every natural death, two cardiologists reviewed all unexpected natural deaths. Results: There were 288 all-cause deaths and 27 (9.4%) were SCD. The crude incidence rate was 31.3 [95% confidence interval (CI): 20.3-40.6]/100 000 person-years. The age-standardized rate by the African standard population was 33.6 (95% CI: 22.4-44.9)/100 000 person-years. Death occurred at night in 37% of cases, including 11% of patients who died while asleep. Out-of-hospital sudden cardiac arrest occurred in 63% of cases, 55.5% of which occurred at home. Of the 88.9% cases of witnessed cardiac arrest, 63% occurred in the presence of a family member and cardiopulmonary resuscitation was attempted only in 3.7%. Conclusion: The burden of SCD in this African population is heavy with distinct characteristics, whereas awareness of SCD and prompt resuscitation efforts appear suboptimal. Larger epidemiological studies are required in SSA in order to implement preventive measures, especially in women and young people.

Indexed as

AdolescentAdultAgedAged, 80 and overAge DistributionCameroonCardiopulmonary ResuscitationCause of DeathCohort StudiesDeath, Sudden, CardiacFemaleHumansIncidenceMaleMiddle AgedOut-of-Hospital Cardiac ArrestSCD epidemiologySCD incidencesub-Saharan Africasudden cardiac death

Identifiers

PMID28453817
PMCPMC5837681

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.