Stroke about very elderly patients in West African Country (Niger): Prognosis risk factors

Andia Abdoulkader 1, *, Garba Abdoul Aziz 3, Idrissa Hama 2, Larent Youmbi 1 and Brah Souleymane 1

1 Internal medicine and geriatric department in Niamey’s Reference hospital, BP=12674.
2 Cardiology department of Niamey’s National hospital; BP=238.
3 General medicine department of Zinder’s National hospital (Niger); BP=155.
 
Research Article
International Journal of Science and Research Archive, 2021, 02(01), 006-011.
Article DOI: 10.30574/ijsra.2021.2.1.0001
Publication history: 
Received on 02 January 2021; revised on 10 January 2021; accepted on 12 January 2021
 
Abstract: 
Background: Chronic diseases such as stroke most frequently occur on old people while literature on prognosis risk factors on elderly is rare particularly Sub-Sahara Africa. The aim of the study is to determine prognosis risk factors of stroke on elderly patients.
Method: It was a prospective cohort study carried out during 6 months that included elderly patients over 70 years old admitted in two tertiary medical emergency departments.
Results: 56 patients with mean age 75.2 ± 5.17 showed moderate NIHSS score (59%) without gender predominance. 75% of patients with a severe score were in the 70-79 years old group. Functional dependency (93%) increased with the NIHSS score severity and 50% of patients with a moderate NIHSS score showed normal nutritional status unlike patients with a severe NIHSS score and depression for most of the cases. Mortality was frequent for patients with hemorrhagic stroke with swallowing disorder and a severe NIHSS score.
Conclusion: Stroke on very elderly patients appears moderate with mortality chances increasing according to the severity of the NIHSS score, swallowing disorders that require a multidisciplinary approach in a neurovascular unit.
 
Keywords: 
Stroke; Elderly; NIHSS; Prognosis; Niger
 
Full text article in PDF: 
 
Copyright information: 

Copyright © 2021 Author(s) retain the copyright of this article. This article is published under the terms of the Creative Commons Attribution Liscense 4.0