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Journal Article Epublish 4 citations

PubMed: 35924142 DOI: 10.1177/20503121221112483

Survival status and predictor of mortality among adult stroke patients in Saint Paul's hospital millennium medical college, Addis Ababa, Ethiopia.

SAGE Open Med 10:20503121221112483

Authors: Tadesse Sahle Adeba, Hussen Mekonen, Tsion Alemu, Tamrat Alate, Tamirat Melis

Affiliations

  • Department of Nursing, College of Medicine and Health Science, Wolkite University, Wolkite, Ethiopia.
  • School of Nursing and Midwifery, College of Health Science, Addis Ababa University, Addis Ababa, Ethiopia.
  • Department of Nursing, College of Medicine and Health Science, Arbaminch University, Arbaminch, Ethiopia.
  • Department of Public Health, College of Medicine and Health Science, Wolkite University, Wolkite, Ethiopia.

Abstract

Objective

In Africa, there is up to 316 per 100,000 annual incidence rate of stroke, a prevalence of up to 1460 per 100,000, and a 3-year mortality rate higher than 80%. The incidence of stroke mortality in Ethiopia is 19.2%. Stroke is a major cause of disability and death worldwide. Early mortality in-hospital and deprived functional outcomes are common in acute stroke. This study aims to assess survival status and predictors of mortality among adult stroke patients.

Methods

Institution-based retrospective cohort was conducted on patients who were admitted to Saint Paul's Hospital Millennium Medical College. A simple random sampling technique was used. Bivariate and multivariable cox regression analysis were used to identify predictors of stroke mortality. For multivariable cox regression analysis statistically, significance was declared at -value <0.05 and 95% CI.

Results

A total of 251 adult stroke patient charts were included in the study. The overall Kaplan-Meier estimate showed that the probability of in-hospital stroke patients' survival on the 41st day was nearly 50%. In this study, 77 (30.7%) of the study participants died. Decreased Glasgow Coma Scale (GCS) with adjusted hazard ratio (AHR) 4.26 (95% CI: 2.25-8.07) and -value ⩽ 0.01 and presence of pneumonia with AHR 3.05 (95% CI: 1.29-7.21) and -value ⩽ 0.01 are the predictor of mortality.

Conclusion

The probability of survival relatively falls as follow-up time increases. The overall incidence of mortality among adult stroke patients was high. The decreased GCS and the presence of pneumonia are predictors of mortality among adult stroke patients.

MeSH

Stroke, Incidence, Mortality, Probability, Pneumonia, Neurology, Regression Analysis

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