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Volume 4 Clinical Neuropsychology: Open Access Neuropsychiatry 2018
August 27-28, 2018
August 27-28, 2018 Tokyo, Japan
8th Global Experts Meeting on
Advances in Neurology and Neuropsychiatry
Building health research capacity in Africa for UHC: The profile of stroke in Jos, north-central Nigeria
Osaigbovo Osawaru Godwin, Amusa G A, Salaam A, Imoh C L and Sagay A SMalgorzata M Bala
Jos University Teaching Hospital, Nigeria
Background: Stroke is the second leading cause of death worldwide. Stroke mortality has been shown to be higher in blacks
in multiracial studies; it is also a very important cause of disability with its attendant deterioration in the quality of life in
survivors. The profile of stroke in north-central Nigeria has been sparsely described despite the fact that it constitutes about 50
to 60% of neurological admission in this part of the world.
Objectives: To determine the risk factors associated with stroke, assess the case fatality 90 days post stroke, determine the bad
prognostic factors of stroke and assess the sensitivity and specificity of clinical sub-typing of stroke using the WHO and Siriraj
stroke scoring tools.
Method: A longitudinal cohort study with a 90 day follow up for secondary outcome was carried out on stroke patients
admitted into the Neurology Unit of Jos University Teaching Hospital over a 2-year period, September 2016 to August, 2018.
Results: A total of 246 stroke patients were admitted during the study period. Males were 131 (53.3%) and females 115 (46.6%)
with an age range of 59.5±13.1 for males and 56.7±14.2 for females. Hypertension (81.7%), obesity (80.9%), dyslipidemia
(54.5%), alcohol consumption (24.8%), carotid plaques (19.5%), cardiac disease (19.1%) and diabetes mellitus (18.5%) were the
commonest risk factors for stroke. The 90 days fatality for stroke was 22%; however, 37% became disabled and unable to carry
out activities of daily living without support. Significant predictors of mortality and morbidity were coma, elevated glycated
hemoglobin, cardiac disease, HIV infection and high National Institute of Health Stroke Score (NIHSS). WHO clinical stroke
sub typing showed a sensitivity of 54.3% and a specificity of 86.3% while Siriraj has a sensitivity of 87.9% and specificity of
84.9% for ischemic stroke, however, for hemorrhagic stroke, WHO sub typing revealed a sensitivity of 86.3% and a specificity
of 54.3% while Siriraj was found to have a sensitivity of 84.9% and specificity of 87.9%, showing that Siriraj is a better tool
for stroke categorization for appropriate management in areas where neuroimaging are either not readily available or not
affordable.
Conclusion: Stroke is a major cause of mortality and morbidity in north central Nigeria. Community screening for risk factors
should be pursued aggressively and identified risk factors managed promptly in order to reduce the burden of this pandemic.
Siriraj stroke sub typing can be used in resource limited setting like ours where neuroimaging facilities are either not available
or are too expensive.
Biography
Osaigbovo Osawaru Godwin is presently working at Jos University Teaching Hospital, Nigeria.
Osaigbovo Osawaru Godwin et al., ClinNeuropsychol 2018, Volume 3
DOI: 10.4172/2472-095X-C1-003