Epidemiology and Prognostic Factors of Stroke In Intensive Care Unit at the National University Hospital Hubert Koutoukou Maga (CNHU-HKM) of Cotonou

Author(s): Hounkpè Pierre Claver, Ahounou Ernest, Adjagba Philippe, Kiatti Enoch, Oke Luc

Introduction: Strokes are serious neurovascular pathologies and constitute a public health problem due to their high frequency and high mortality rate. The research aim was to assess the prognostic factors of stroke in the intensive care unit of the National University Hospital Hubert Koutoukou Maga (CNHU-HKM) of Cotonou.

Materials and Methods: This was a cross-sectional, descriptive and analytical research with retrospective data collection. It took place in the intensive care unit of the CNHU/HKM at Cotonou over a period of 30 months from January 1, 2015 to June 30, 2017. The cases of stroke confirmed by a brain scanner/ MRI were included.

Results: A total of 109 stroke cases were included in our research and the prevalence was 5.5%. Hemorrhagic strokes were more representative (59.6%). The mean age was 59 ± 14 years, the sex ratio was 1.22. The HBP was the most common risk factor (81.7%). Mortality was 80.07% and length of stay 8 ± 9 days. The poor prognostic factors were GCS ≤ 8, the presence of neurological and respiratory complications or sepsis.

Conclusions: Strokes in intensive care unit at CNHU/HKM are burdened with a high mortality rate (80.07%). The poor prognostic factors were GCS ≤ 8, the presence of neurological and respiratory complications or sepsis.