Epidemiological Profile of Stroke Cases at the Sylvanus Olympio University Hospital in Lomé, Togo, 2017 – 2018

Author(s): Abou-Bakari Tchala, Agballa Mébiny-Essoh Tchalla Abalo, Kodjo Agbeko Djagadou, Toyi Tchamdja, Essona Matatom Akara, Rébécca Kinde, Komi Dzidzonu Nemi, Edem Kossi Mossi, Lihanim

Introduction
Strokes are the first cause of non-traumatic disability and the second cause of death worldwide. Data analysis is useful to improve their care. Our purpose was to describe the epidemiological profile of stroke cases admitted at the Sylvanus Olympio University Hospital (CHU-SO) from 2017 to 2018.

Method
We conducted a descriptive study that included all stroke cases admitted at Internal Medicine Department of CHU-SO from January 2017 to December 2018. Socio-demographic and clinical data were collected by medical records reviewing and patients' interview and thereafter compiled and analyzed with Epi Info 7.2.1.0.

Results
The overall prevalence was 7.6% (173/2, 270) and 11.4% in patients aged 50 and over. Median age was 58.5 years, Interquartile interval (IQ) [48-65] and M/F sex ratio was 1.16. The median delay for admission to CHU-SO was one day, IQ [0-2]. Among patients' medical history, high blood pressure, strokes, alcoholism and diabetes accounted for 68.2% (118/173), 16.8% (29/173), 15.0% (26/173) and 12.1% (21/173) respectively. Hemorrhagic stroke cases accounted for 80.6% (29/36) in patients aged less than 50, while ischemia's accounted for 64.2% (61/95) among those aged 50 and over. Recovery occurred in 30.1% (52/173) with 80.8% (42/52) of sequelae. Deaths occurred in 62.4% (108/173) and were associated with the absence of the head CT scan (OR=2.71; 95% CI [1.14-6.73]).

Conclusion
Strokes affected mainly active people with high mortality exacerbated by the absence of the head CT scan. Early availability of the head CT scan and implementation of other specific strategies carried out of an action plan could contribute to reduce the burden of stroke at CHU-SO.

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