Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2015 Mar;15(1):74-81.
doi: 10.4314/ahs.v15i1.10.

Stroke mortality and its predictors in a Nigerian teaching hospital

Bertha Ekeh  1 , Adesola Ogunniyi  2 , Emmanuel Isamade  3 , Udeme Ekrikpo  1
Affiliations

Stroke mortality and its predictors in a Nigerian teaching hospital

Bertha Ekeh et al. Afr Health Sci. 2015 Mar.

Abstract

Background: Stroke is the third leading cause of death worldwide. Stroke mortality has been noted to be higher in blacks in biracial studies. There have been few studies on stroke mortality and its predictors in Nigeria. This study examines mortality of stroke and its predictors in a Northern Nigerian teaching hospital.

Methods: This was a prospective study that was carried out at Jos University Teaching Hospital in Nigeria. One hundred and twenty stroke patients admitted into the medical wards within one year were assessed. Demographic data was recorded. Patients were examined and ancillary investigations were carried out. The deaths and predictors were recorded. Multivariate logistic regression was used to identify independent predictors of mortality.

Results: There were one hundred and twenty participants. Forty two (35%), patients died. Most (76.2%) deaths occurred within the first week. Predictors of mortality on univariate analysis were age ≥ 60 years, male sex, loss of consciousness, high NIHSS score (≥16), the presence of co-morbid conditions and presence of complications. On multivariate analysis, the predictors of mortality were the presence of co-morbid conditions, GCS<10 and high NIHSS score.

Conclusion: Stroke mortality was quite high in this study. Predictors of mortality were the indices of severity and the presence of co-morbid conditions.

Keywords: Co-morbid conditions; Level of consciousness; Mortality; National Institute of Health Stroke Scale (NIHSS score); Predictors; Stroke.

PubMed Disclaimer

References

    1. American Heart Association, author. Heart and stroke update. Dallas, Texas: 1998.
    1. Feigin VL, Lawes CMM, Bennett DA, Barker-Collo SL, Pang V. Worldwide stroke incidence and early case fatality reported in 56 population based studies: A Systematic Review. Lancet Neurol. 2009;8:355–369. - PubMed
    1. Saqui E. Stroke in sub Saharan Africa. Med Trop (Mars) 2007;67:596–600. - PubMed
    1. Smith W S, Johnston S C, Easton J D. Cerebrovascular disease. In: Kasper DL, Braunwald E, Fauci AS, Hauser SL, Longo DL, Jameson JL, editors. Harrisons' Principles of Internal Medicine. 16th ED 2005.
    1. Report of WHO-Welcome Trust Meeting of experts: Secondary Prevention of Non-communicable diseases in low and middle income countries through community based and health service intentions. Geneva: World Health Organisation; 2001.

MeSH terms

LinkOut - more resources