Predictors of In-Hospital Mortality for Stroke in Douala, Cameroon
Table 5
Death predicting factors of in-hospital mortality in patients with stroke.
Survival
Death
Univariate analysis
Multivariate analysis
(%)
(%)
OR (95% CI)
OR (95% CI)
Sex
Female
85 (68.5)
39 (31.5)
0.75 (0.49–1.14)
0.18
0.72 (0.23–2.19)
0.56
Male
153 (76.1)
48 (23.9)
Age (years)
<45
31 (68.9)
14 (31.1)
45–54
58 (77.3)
17 (22.7)
0.68 (0.33–1.42)
0.32
55–64
71 (71)
29 (29)
0.85 (0.45–1.61)
0.62
≥65
78 (74.3)
27 (25.7)
0.80 (0.42–1.52)
0.51
Time 1*
≤6 hours
147 (71)
60 (29)
0.77 (0.49–1.21)
0.27
>6 hours
91 (77.1)
27 (22.9)
Time 2**
≤6 hours
66 (75.9)
21 (24.1)
1.13 (0.69–1.85)
0.63
>6 hours
172 (72.3)
66 (27.7)
Comorbidities***
HBP
167 (73.6)
60 (26.4)
0.91 (0.58–1.43)
0.68
Diabetes
50 (74.6)
17 (25.4)
0.94 (0.56–1.60)
0.83
Dyslipidemia
26 (89.7)
3 (10.3)
0.35 (0.11–1.12)
0.08
0.5 (0.06–4.13)
0.52
31 (81.6)
7 (18.4)
0.62 (0.29–1.34)
0.20
0.46 (0.09–2.16)
0.33
Alcohol
80 (87)
12 (13)
0.34 (0.18–0.62)
0.0001
0.43 (0.12–1.58)
0.21
Tobacco
48 (92.3)
4 (7.7)
0.23 (0.08–0.62)
0.004
1.02 (0.16–6.52)
0.99
HIV
8 (80)
2 (20)
0.67 (0.16–2.71)
0.57
Glasgow, (/15)
≤8
10 (18.2)
45 (81.8)
9.34 (6.08–14.33)
0.0001
13.41 (4.86–36.9)
0.0001
>8
228 (84.4)
42 (15.6)
Temperature (°C)
≤37.5
196 (80.3)
48 (19.7)
2.78 (1.82–4.25)
0.0001
2.17 (0.76–6.23)
0.15
>37.5
42 (51.9)
39 (48.1)
Glycemia (g/L) capillary
≤1.4
150 (79.4)
39 (20.6)
1.87 (1.19–2.92)
0.007
3.61 (1.38–9.44)
0.009
>1.4
68 (64.8)
37 (35.2)
Serum creatinine (mg/L)
≤13
152 (80.9)
36 (19.1)
1.74 (1.08–2.80)
0.02
0.75 (0.19–3.02)
0.69
>13
66 (67.3)
32 (32.7)
Urea (g/L)
≤0.45
152 (81.3)
36 (18.7)
1.79 (1.07–2.98)
0.02
1.57 (0.41–6.08)
0.51
>0.45
52 (66.7)
26 (33.3)
CRP (mg/L)
<6
77 (92.8)
6 (7.2)
6–24
39 (83)
8 (17)
1.79 (0.62–5.19)
0.29
1.03 (0.24–4.36)
0.97
>24
35 (71.4)
14 (28.6)
2.67 (1.01–7.08)
0.048
0.89 (0.23–3.4)
0.87
Uric acid (mg/L)
≤70
35 (87.5)
5 (12.5)
1.68 (0.49–5.80)
0.41
>70
59 (92.2)
5 (7.8)
Complications during admission
70 (66.7)
35 (33.3)
1.06 (0.62–1.81)
0.41
Stroke’s type
Ischemic
148 (87.1)
22 (12.9)
3.32 (2.05–5.40)
0.0001
5.65 (1.77–18.02)
0.003
Hemorrhagic
90 (58.1)
65 (41.9)
Time 1: delay from stroke onset and the first consultation; Time 2: delay from stroke onset and consultation at Douala General Hospital.
Comorbidities: known vascular risk factors during admission; HBP: high blood pressure; past medical history of stroke.
