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Stroke Research and Treatment
Volume 2014 (2014), Article ID 681209, 6 pages
http://dx.doi.org/10.1155/2014/681209
Research Article

Predictors of In-Hospital Mortality for Stroke in Douala, Cameroon

1Douala General Hospital, Faculty of Medicine and Pharmaceutical Sciences, The University of Douala, Douala, Cameroon
2Douala General Hospital, Institut des Sciences de la Santé, Université des Montagnes, Douala, Cameroon
3Douala General Hospital, Douala, Cameroon
4Faculty of Medicine and Pharmaceutical Sciences, The University of Douala, Douala, Cameroon
5Department of Internal Medicine in Douala General Hospital, Faculty of Medicine and Biomedical Sciences, The University of Yaoundé I, Douala, Cameroon
6Department of Clinical Sciences, Faculty of Medicine and Pharmaceutical Sciences, The University of Douala, Douala, Cameroon
7Department of Neurology, Yaoundé Central Hospital & Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Yaoundé, Cameroon

Received 28 November 2013; Revised 26 December 2013; Accepted 31 December 2013; Published 25 February 2014

Academic Editor: Chelsea Kidwell

Copyright © 2014 N. Y. Mapoure et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. The objective of this study was to describe complications in hospitalized patients for stroke and to determine the predictive factors of intrahospital mortality from stroke at the Douala General Hospital (DGH) in Cameroon. Patients and Methods. A prospective cross-sectional study was carried out from January 1, 2010 to December 31, 2012, at the DGH. All the patients who were aged more than 15 years with established diagnosis of stroke were included. A univariate analysis was done to look for factors associated with the risk of death, whilst the predictive factors of death were determined in a multivariate analysis following Cox regression model. Results. Of the 325 patients included patients, 68.1% were males and the mean age was 58.66 ± 13.6 years. Ischaemic stroke accounted for 52% of the cases. Sepsis was the leading complications present in 99 (30.12%) cases. Independent predicting factors of in-hospital mortality were Glasgow Coma Scale lower than 8 (HR = 2.17 95% CI 4.86–36.8; ), hyperglycaemia at admission (HR = 3.61 95% CI 1.38–9.44; ), and hemorrhagic stroke (HR = 5.65 95% CI 1.77–18; ). Conclusion. The clinician should systematically diagnose and treat infectious states and hyperglycaemia in stroke.