ArticleMalawi medical journal : the journal of Medical Association of Malawi2017
Clinical characteristics and outcomes of patients with stroke admitted to three tertiary hospitals in Zimbabwe: A retrospective one-year study.
Article in Malawi medical journal : the journal of Medical Association of Malawi, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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16 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.
- Trends and Clinical Characteristics of HIV and Cerebrovascular Disease in Low- and Middle-Income Countries (LMICs) Between 1990 and 2021.Current HIV/AIDS reports · 2022Pooled it
- Assessment of Socio-Demographic and Clinical Characteristics of Stroke Patients of a Tertiary Hospital in Bangladesh: A Cross-Sectional Study.Health science reports · 2026Article
- In-hospital mortality and its associated factors among hospitalized stroke patients at public hospitals of Eastern Ethiopia.BMC cardiovascular disorders · 2024Article
- May Measurement Month 2021: an analysis of blood pressure screening results from Zimbabwe.European heart journal supplements : journal of the European Society of Cardiology · 2024Article
- Factors influencing survival outcomes in patients with stroke in Zimbabwe: A 12-month longitudinal study.medRxiv : the preprint server for health sciences · 2024Article
- 30-day in-hospital stroke case fatality and significant risk factors in sub-Saharan-Africa: A systematic review and meta-analysis.PLOS global public health · 2024Article
- Factors influencing survival outcomes in patients with stroke at three tertiary hospitals in Zimbabwe: A 12-month longitudinal study.PloS one · 2024Article
- Incidence of mortality and risk factors among adult stroke patients in public hospitals Jigjiga town Somali region, Ethiopia: Cohort study design.SAGE open medicine · 2024Article
- The Burden and In-Hospital Mortality of Stroke Admissions at a Tertiary Level Hospital in Namibia: A Retrospective Cohort Study.Stroke research and treatment · 2023Article
- Predictors of in-hospital and 90-day post-discharge stroke mortality in Lusaka, Zambia.Journal of the neurological sciences · 2022Article
- Incidence, risk factors and microbiological aetiology of urinary tract infections in admitted stroke patients at a teaching hospital in Zimbabwe: A prospective cohort study.Infection prevention in practice · 2022Article
- Survival status and predictor of mortality among adult stroke patients in Saint Paul's hospital millennium medical college, Addis Ababa, Ethiopia.SAGE open medicine · 2022Article
- Risk factors and outcomes of hospitalized stroke patients in Lusaka, Zambia.Journal of the neurological sciences · 2021Article
- The characteristics of stroke and its rehabilitation in Northern Tanzania.Global health action · 2021Article
- Stroke mimics in patients clinically diagnosed with stroke at a tertiary teaching hospital in Tanzania: a prospective cohort study.BMC neurology · 2020Article
- Cardiovascular Disease Healthcare Utilization in Sub-Saharan Africa: A Scoping Review.International journal of environmental research and public health · 2019Article
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Authors and funding
5 authors at 2 institutions in 2 countries.
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Abstract
backgroundEpidemiological data on stroke in Zimbabwe are scarce and few clinical studies have been performed to date.
methodsA retrospective review of the medical records of patients admitted for stroke during the year 2012 was performed at three tertiary hospitals. Sociodemographic data were recorded alongside with comorbidities and outcomes. Scoping over a period of one year using records of patients admitted for stroke helped to quantify and qualify the stroke problem. Descriptive analysis was done using STATA version 13.0.
resultsA total of 450 stroke cases, (63% women) were included in the final analysis. The proportion of stroke cases among the admissions was 0.61%. Mean age of the stroke patients was 61.6±16.8 years (95% CI=60.1; 63.2). Risk factors were hypertension (58.5%), diabetes (18%) and HIV, (14%)). Diagnosis was clinical and 39.4% had a CT scan. Mean length of hospital stay was 8.1±5.6 days with a significance difference noted among hospitals (p<0.001). In-hospital mortality was 24.9%, 95% CI (20.9; 29.0%). Mortality was associated with place of admission (p<0.001). Gender and side of stroke were significantly associated (p<0.001).
conclusionsThe sociodemographic characteristics mirrored findings from elsewhere. Mean age was higher than reported for Zimbabwe in the nineties and lately for Malawi. Majority of patients were female, elderly and hypertensive in line with findings from other countries. Presence of HIV is supported by recent studies from Malawi and South Africa. The relationship between gender and side affected needs further research. There is need to standardise acute care through proper diagnosis to reduce mortality. There is need to support caregivers post-discharge. Data-handling is poor and there is limited capacity for Sub Saharan Africa hospitals to provide optimal stroke care. This may have long term implications on the outcome of survivors and caregivers. There is need of vigilance in acute stroke care.
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