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Abstract Details

Pattern, Risk Factors and Outcome of Acute Stroke in a Nigerian University Teaching Hospital: A One-Year Review
Cerebrovascular Disease and Interventional Neurology
Cerebrovascular Disease and Interventional Neurology Posters (7:00 AM-5:00 PM)
170

This study aimed to document the pattern, risk factors, in-hospital outcome, and acute stroke mortality presenting to the hospital over a one-year timeline.
Stroke incidence has been rising globally, and it remains a leading cause of morbidity and mortality in Nigeria. 
All the acute stroke patients admitted at the Lagos State University Teaching Hospital between October 2019 and September 2020 had their records reviewed. Information including age, gender, risk factors, stroke type, access to neuroimaging, and the in-hospital outcome was extracted into a stroke proforma. Appropriate statistical analyses were performed to analyse the difference in stroke characteristics and outcomes.

A total of 717 patients were admitted with acute stroke accounting for 26.2% of all the medical admissions. Hypertension was the leading risk factor: documented in 89.6% of the stroke cases. The proportion of intracerebral haemorrhage was 44.8%, while ischaemic stroke was 52.2%. Among the patients with ischaemic stroke, 9.1% had an onset-to-arrival time of fewer than nine hours, but only three had thrombolytic therapy. The 30-day mortality was 28.7%, with more cases among older patients and patients treated outside the stroke unit.
Stroke is a common indication for medical admissions, with hospital incidence of intracerebral haemorrhage comparable to that of ischaemic stroke. Thrombolytic therapy eligibility and accessibility are still lower than recommended. Mortality data confirms the importance of management in a stroke unit.
Authors/Disclosures
Babawale Arabambi, MBBS (Health Sciences Center)
PRESENTER 		Dr. Arabambi has nothing to disclose.
Olajumoke Oshinaike, MD (Lagos State University College of Medicine) Dr. Oshinaike has nothing to disclose.
Yomi A. Ogun, MD, FÂ鶹´«Ã½Ó³»­ (Lagos State University Teaching Hospital) Dr. Ogun has nothing to disclose.