Evidence map›Paper›PMID 36034026›Full record

ArticleThe Pan African medical journal2022

[Intra-hospital and three-month outcomes of patients with cerebral venous thrombosis in the department of neurology in Befelatanana, Madagascar: a retrospective cohort study].

Lala Andriamasinavalona Rajaonarison, Nomena Finiavana Rasaholiarison, Naliniaina Robert Randrianantoandro, Manitra Niaina Rabeony, Julien Razafimahefa, Noël Zodaly, Alain Djacoba Tehindrazanarivelo

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Article in The Pan African medical journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Lala Andriamasinavalona RajaonarisonFaculté de Médecine, Université d'Antsiranana, Antsiranana, Madagascar.
Nomena Finiavana RasaholiarisonFaculté de Médecine, Université de Fianarantsoa, Fianarantsoa, Madagascar.
Naliniaina Robert RandrianantoandroFaculté de Médecine, Université d´Antananarivo, Antananarivo, Madagascar.
Manitra Niaina RabeonyFaculté de Médecine, Université d´Antananarivo, Antananarivo, Madagascar.
Julien RazafimahefaFaculté de Médecine, Université d´Antananarivo, Antananarivo, Madagascar.
Noël ZodalyFaculté de Médecine, Université d´Antananarivo, Antananarivo, Madagascar.
Alain Djacoba TehindrazanariveloFaculté de Médecine, Université d´Antananarivo, Antananarivo, Madagascar.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The prognosis of cerebral venous thrombosis (CVT) is much better than that of cerebral artery (CAI) infarct. The purpose of this study is to describe intra-hospital and three-month outcomes of patients with CVT in the Department of Neurology of Befelatanana as well as the role of anticoagulants in the management of patients with CVT, without and with haemorrhagic suffusion. We conducted a retrospective cohort study of patients with CVT from January 01, 2014 to December 31, 2019 (72 months). Patients´ clinical characteristics and their intra-hospital and three-month outcomes data were collected. Data were analyzed using the R software, by comparing data of patients with CVT, with and without haemorrhagic suffusion and with a significant p ≤ 0.05. We recorded 21/4227 (0.49%) cases of CVT, of whom 11 (52.38%) had CVT with haemorrhagic suffusion. The average age of patients was 38.05 years. The age group 18-34 years (47.62%) was most represented. Women were the predominant gender (76.19%; n=16). On admission, NIHSS score < 10 was found in 85.71% of patients (n=18) and mRS score < 3 was found in 61.90% of patients (n=13). All patients were receiving anticoagulants. Upon discharge from hospital, NIHSS score < 10 was stable (90.47% (n=19)) with an increase in patient with mRS score < 3 (85.71% (n=18)), of whom 3 were in the haemorrhagic suffusion group. The average hospital stay was 16.04 days. One patient in the group without haemorrhagic suffusion died during hospitalisation. At 3 months after discharge, only 9 patients were reachable. Their neurological status improved (NIHSS score < 10 in 100% (n=9) of patients, mRS score= 0 in 88.89% (n=8) of patients). No statistically significant differences were found between the two groups in terms of disability (p=0.757), with a relative risk (RR) of 0.91 CI [0.04; 6.55] and of death (p=0.282) (0 deaths in a group) between the two groups receiving and not receiving anticoagulants. Mortality and disability in patients receiving anticoagulants during the evolution of CVT are very low. The availability of a low-cost brain CT angiography could allow better management of CVT in our Neurology Department.

Indexed as

Intracranial ThrombosisNeurologyVenous ThrombosisAdolescentAdultAnticoagulantsFemaleHospitalsHumansMadagascarRetrospective StudiesRisk FactorsYoung AdultAnticoagulantsAnticoagulationcerebral venous thrombosisMadagascarmortality

Identifiers

PMID36034026
PMCPMC9379420

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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.