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
. 2020 Dec 31;10(12):e040238.
doi: 10.1136/bmjopen-2020-040238.

Clinical pattern and predictors of stroke treatment outcome among hospitalised patients who had a stroke at Felege Hiwot comprehensive specialised hospital, northwest Ethiopia: a retrospective cross-sectional study

Belayneh Kefale  1 , Amien Ewunetei  2 , Mulugeta Molla  2 , Gobezie Temesgen Tegegne  3 , Amsalu Degu  4
Affiliations

Clinical pattern and predictors of stroke treatment outcome among hospitalised patients who had a stroke at Felege Hiwot comprehensive specialised hospital, northwest Ethiopia: a retrospective cross-sectional study

Belayneh Kefale et al. BMJ Open. .

Abstract

Objectives: This study aimed to assess the clinical pattern and predictors of stroke treatment outcomes among hospitalised patients in Felege Hiwot comprehensive specialised hospital (FHCSH) in northwest Ethiopia.

Design: A retrospective cross-sectional study.

Setting: The study was conducted medical ward of FHCSH.

Participants: The medical records of 597 adult patients who had a stroke were included in the study. All adult (≥18 years) patients who had a stroke had been admitted to the medical ward of FHSCH during 2015-2019 were included in the study. However, patients with incomplete medical records (ie, incomplete treatment regimen and the status of the patients after treatment) were excluded in the study.

Results: In the present study, 317 (53.1%) were males, and the mean age of the study participants was 61.08±13.76 years. About two-thirds of patients (392, 65.7%) were diagnosed with ischaemic stroke. Regarding clinical pattern, about 203 (34.0%) of patients complained of right-side body weakness and the major comorbid condition identified was hypertension (216, 64.9%). Overall, 276 (46.2%) of them had poor treatment outcomes, and 101 (16.9%) of them died. Patients who cannot read and write (AOR=42.89, 95% CI 13.23 to 111.28, p<0.001), attend primary school (AOR=22.11, 95% CI 6.98 to 55.99, p<0.001) and secondary school (AOR=4.20, 95% CI 1.42 to 12.51, p<0.001), diagnosed with haemorrhagic stroke (AOR=2.68, 95% CI 1.62 to 4.43, p<0.001) and delayed hospital arrival more than 24 hours (AOR=2.92, 95% CI 1.83 to 4.66, p=0.001) were the independent predictors of poor treatment outcome.

Conclusions: Approximately half of the patients who had a stroke had poor treatment outcomes. Ischaemic stroke was the most predominantly diagnosed stroke type. Education status, types of stroke and the median time from onset of symptoms to hospitalisation were the predictors of treatment outcome. Health education should be given to patients regarding clinical symptoms of stroke. In addition, local healthcare providers need to consider the above risk factors while managing stroke.

Keywords: NEUROLOGY; Stroke; Stroke medicine.

PubMed Disclaimer

Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Distribution of patients with stroke by their outcomes.
Figure 2
Figure 2
Distribution of patient outcomes by duration of hospital stay.
See this image and copyright information in PMC

References

    1. The GBD 2016 Lifetime Risk of Stroke Collaborators Global, regional, and country-specific lifetime risks of stroke, 1990 and 2016. N Engl J Med Overseas Ed 2018;379:2429–37. 10.1056/NEJMoa1804492 - DOI - PMC - PubMed
    1. Feigin VL, Norrving B, Mensah GA. Global burden of stroke. Circ Res 2017;120:439–48. 10.1161/CIRCRESAHA.116.308413 - DOI - PubMed
    1. Sacco RL, Kasner SE, Broderick JP, et al. An updated definition of stroke for the 21st century: a statement for healthcare professionals from the American heart Association/American stroke association. Stroke 2013;44:2064–89. 10.1161/STR.0b013e318296aeca - DOI - PMC - PubMed
    1. Feigin VL, Krishnamurthi R, Bhattacharjee R, et al. New strategy to reduce the global burden of stroke. Stroke 2015;46:1740–7. 10.1161/STROKEAHA.115.008222 - DOI - PubMed
    1. Fekadu G, Chelkeba L, Kebede A. Burden, clinical outcomes and predictors of time to in hospital mortality among adult patients admitted to stroke unit of Jimma University medical center: a prospective cohort study. BMC Neurol 2019;19:213. 10.1186/s12883-019-1439-7 - DOI - PMC - PubMed

Publication types