Stroke in nigeria pdf

Efficacy of cognitive rehabilitation therapy on poststroke. Awareness of warning signs among suburban nigerians at high. Specifically, the prevalence of stroke across studies in nigeria varies from 058 in 1987 to 8. What it is stroke is a medical emergency that occurs when the supply of oxygenrich blood to the brain either reduces or gets blocked. Management of the disease is largely conservative while there is little or no funding for high. Management of the disease is largely conservative while there is little or no funding for highquality research. Its projected population in 2015 is 180 million, making it the most heavily populated african country, and the seventh most populous nation in the world. Ischemic stroke is similar to a heart attack, except it occurs in the blood vessels of the brain.

This study examines mortality of stroke and its predictors in a northern nigerian teaching hospital. This study examined knowledge of stroke risk factors and its determinants among stroke survivors. Request pdf stroke in south west nigeria stroke is a significant economic, social, and medical problem worldwide. They are located at 10, pipeline, satellite village, oyigbo, rivers state nigeria. Not only does the burden of stroke lie in the high mortality but the high morbidity. The physical, intellectual and ecosocial domains of hrqol were the most affected, whereas the spirit and spiritual interaction domains were generally better. National policy and strategic plan of action on prevention. The case fatality rate of stroke in africa is about 35% but could be as low as 14.

There have been few studies on stroke mortality and its predictors in nigeria. Patients were classified into hemorrhage or infarct using the world. Nigeria, the country where this study was carried out is a sub saharan african country. Efficacy of cognitive rehabilitation therapy on poststroke depression among survivors of first stroke attack in ibadan, nigeria olugbemi olukolade1 and helen o. Stroke research and treatment maintains an editorial board of practicing researchers from around the world, to ensure. Jan 26, 2018 the study surveyed 2,000 stroke patients in ghana and nigeria including agyemang to better understand what factors are most likely to put people at risk. Knowledge of stroke risk factors is expected to reduce the incidence of strokewhether firstever or recurrent.

Stroke itself is a significant economic, social, and medical problem and it is the third leading cause of death in most industrialized countries. The centers for disease control and prevention cdc established an office in nigeria in 2001. An estimate of the incidence and prevalence of stroke in. Stroke is a leading cause of disability in developing countries. It is a nongovernmental organization and also a nonprofit organization. Validation of siriraj stroke score in southeast nigeria. Stroke risk factors among participants of a world stroke day. Little is known about the prevalence of stroke in people with low socioeconomic status in nigeria. Stroke mortality has been noted to be higher in blacks in biracial. Largest study of stroke patients in africa reveals high. Research article social participation after stroke. More complicated cases are seen in the few tertiary centers fewer than 60 exist in nigeria. Stroke is a major cause of hospital admissions and deaths in nigeria234567.

However, communitybased stroke prevalence studies are sparse in subsaharan africa particularly in nigeria. Stroke incidence studies in africa the lancet neurology. Nigeria has a large population of people affected by this condition and this study aims to assess the stroke prevalence in this large population. But in some parts of nigeria, that attack is believed to be spiritualrequiring ferocious prayers, application of anointing oil, holy water, burning of incense and candles obviously to ward off or cast out the demonic spirits responsible for this so called attack. Oct 11, 2017 ssos in nigeria agree that most people in the country do not know what a stroke is, what the risk factors are, or that stroke is a medical emergency. This was a prospective study on validity of sss in the diagnosis of stroke types. Patients with a diagnosis of hypertension, diabetes or. We investigated 30 potential risk factors for stroke in nigeria and ghana that were carefully selected on the basis of a literature search, our clinical understanding of stroke risk, and empirical evidence from our data significant associations observed in bivariate analyses.

Diagnosis of acute stroke home american academy of. Ssos in nigeria agree that most people in the country do not know what a stroke is, what the risk factors are, or that stroke is a medical emergency. Ccsap 2018 book 1 medical issues in the icu 10 hypertensive emergencies dissection, acute stroke ischemic and hemorrhagic, and pregnancyassociated severe hypertension preeclampsiaeclampsia and hypertensive emergency in the pregnant. All patients between the ages of 1845 years old with stroke admitted into the medical wards of the upth between january 2003 and december 2008 were identified from the ward records. Clots can form in the brains blood vessels, in blood vessels leading to the brain, or even in. There are divergent findings on the impact of functional independence on psychosocial quality of life qol of stroke survivors. Stroke survivors were consecutively recruited while on admission at a tertiary health institution. How ever, a report from a stroke registry in ibadan gave the annual incidence of stroke in nigerians as 26 per 100 000 populations. They have one of the best rehabilitation centers in nigeria. Accurate epidemiological surveillance of the burden of stroke is direly needed to. Nigeria, lagos, urban, danesi,43 20, between january 1 and december 31. Stroke prevalence data from 14 physicians working in 11 tertiary health centres across the country was collated by doctors using the sickle cell registers and patient case notes. A hospitalbased crosssectional study conducted at irrua specialist teaching hospital, in southern nigeria.

The prevalence of stroke survivors in urban slums in enugu. Journal topics include risk factors, symptomatology, imaging, pathophysiology etc. The challenges of the start up cost, and public education in seeking help early enough are also highlighted. Osinowo2 1family medicine department, university college hospital, ibadan, oyo, nigeria 2department of psychology, university of ibadan, ibadan, oyo, nigeria. This high death toll is even more in sub saharan africa. The crude prevalence of stroke reported in a rural study in southwestern nigeria was 0. However, the denominator population was far too small to establish stroke prevalence accurately. The current prevalence of stroke in nigeria is 114 per while the 30. Stroke is a significant economic, social, and medical problem all over the world. Although most of the stroke data in the country are hospitalbased due to identified challenges in conducting communitybased studies, the burden of stroke in the nigerian population, as with. This study was designed to assess awareness of stroke warning signs in nigerians at increased risk. From lobbying the government to harnessing the power of social media, and with very limited resources, the ssos are taking action.

The pattern of stroke has been well characterized in many settings in nigeria. The aim of the study is to validate the use of siriraj stroke score sss in the diagnosis of acute hemorrhagic and acute ischemic stroke in southeast nigeria. Dec 11, 2017 stroke surveillance is useful in determining the present and projected burden of the disease and monitoring the impact of interventions. Primary prevention is the key to reducing the burden of the disease in a country with such poor resources. Claire, stroke survivor what is a transient ischaemic attack tia. However, as part of measures to tackle the burden of stroke, hypertension and other cardiovascular diseases in nigeria, the federal government has resolved to subsidise treatment of stroke. The investigators propose a feasibility study, sickle cell disease stroke prevention in nigeria spin trial, to determine whether hydroxyurea can be used for primary prevention of strokes in nigerian children with sickle cell anemia. Establishment of such units in nigeria is desirable, urgent and feasible.

Otus stood at 175 over 110, a level at which he faced an increased risk of stroke, heart attack and kidney failure. Stroke may negatively affect social participation in survivors. The profile of stroke, has, however, not been previously reported from nigeria s new federal capital. A transient ischaemic attack tia happens when your brains blood supply is interrupted for a very brief time. In nigeria, national stroke care and strategy is gravely under developed and with no formal national. The first incidence study on stroke in nigeria funded by the world health organization was carried out from 1973 to 1975 and reported a rate of 26 per. They said stroke related ailments are the commonest cause of hospital admissions. Improve the efficiency of your sales cycle with our crm software register now. Sickle cell disease stroke prevention in nigeria trial.

This was a cross sectional descriptive study carried out in two slums in enugu, south east. The incidence of stroke is increasing worldwide and it is the third leading cause of death in most industrialized countries. Stroke research and treatment provides a platform for clinicians and basic scientists interested in cerebral circulation and associated diseases. In a comparative study of stroke risk factors among stroke survivors in nigeria and. Stroke prevalence amongst sickle cell disease patients in. Most of these stroke deaths are found in the developing countries. Methodsrecords of all stroke patients admitted into ogun state.

Stroke surveillance is useful in determining the present and projected burden of the disease and monitoring the impact of interventions. Background stroke is increasingly becoming a challenging public health issue in africa, and the nonavailability of data has limited research output and consequently the response to this burden. Background and purpose stroke is a significant economic, social, and medical problem worldwide. We operate the first life after stroke centres in nigeria helping stroke survivors, carers and families to cope with the stroke recovery journey. A crosssectional survey of consenting stroke survivors at two physiotherapy facilities in nigeria was carried out. This study aimed to provide a comparative estimate of the prevalence of stroke survivors in the rural niger delta region. Estimates suggest that 8% of all firstever strokes occur in africa and that 5% of the 30 million stroke survivors worldwide live in africa. Nigeria, the giant of africa, with a land area of about 920 000 km 2, lies on the west african coast figures 1. Cdc global health nigeria centers for disease control. Stroke mortality and its predictors in a nigerian teaching hospital. A paucity of data from stroke studies in africa2 severely limits our. In nigeria, cerebral ischemia ci accounted for 64%, ich for 19%, and subarachnoid hemorrhage for 6% of all strokes. The study surveyed 2,000 stroke patients in ghana and nigeria including agyemang to better understand what factors are most likely to put people at risk. Previous studies had recorded high stroke prevalence amongst this group of patients.

Most nigerians with diabetes are seen in the secondary institutions general hospitals, specialist hospitals, and private hospitals. The healthcare access and quality haq index provides a summary measure of healthcare access and quality for a given location. This measure is based on riskstandardized mortality rates or mortalitytoincidence ratios from causes that, in the presence of quality healthcare, should not result in death also known as amenable mortality. Nigeria institute for health metrics and evaluation. Determinants of healthrelated quality of life hrqol in nigerian stroke patients. The main objective of this study was to determine the prevalence of stroke in two urban slums in south east nigeria. A big challenge is raising awareness of stroke as a condition.

May 30, 2008 although stroke is a leading cause of morbidity and mortality in nigeria, there is no information on awareness of its warning signs. Improve the efficiency of your sales cycle with our crm software register now nigeria. Cost of treatment for stroke to increase report vanguard news. Cdc works with federal and state ministries of health to address hiv, tuberculosis, malaria, and immunization for vaccinepreventable diseases as well as on strengthening laboratory, surveillance, and workforce capacity to respond to disease outbreaks. Department of service delivery and safety, world health organization, avenue appia 20, 1211 geneva 27, switzerland. Brief history of curriculum development in nigeria under the influence of curriculum changes, nigerias education system has undergone a series of developments beginning as far back as 1842. The prevalence of stroke in a nigerian neurology clinic article pdf available in international journal of stroke 9. Full text epidemiology of stroke in a rural community in. The deaths in these countries account for as much as 87% of all the stroke deaths 3. This is the first report of determinants of hrqol in nigeria using a strokespecific measure.

Stroke survivors in nigeria journal of the neurological sciences. This study aimed to estimate the incidence and prevalence of stroke in africa in 2009 towards improved policy response and management of the disease in the region. In nigeria, stroke incidence has been put at 26100,000. The profile of stroke in nigerias federal capital territory. Stroke is a lifechanging, debilitating complication of sickle cell disease scd. The aim of this study was to characterize the pattern of stroke in a specialist centre in nigeria s federal capital territory over a 5year period. They have many years of experience too and have clients from across nigeria. Stroke is the third leading cause of death worldwide. Pdf the prevalence of stroke in a nigerian neurology clinic.

A threephased doortodoor survey was conducted using who modified instruments. To investigate the relationship between functional independence and psychosocial qol among stroke survivors in maiduguri, nigeria. A secondary analysis of the data obtained from 100 stroke survivors undergoing physiotherapy at 2 health facilities in nigeria was carried out to document the prevalence of recurrent stroke. Prevalence of recurrent stroke among a rehabilitation. Stroke is the leading cause of medical coma in nigeria. The gbd 20 stroke burden estimates were published in a special freeaccess issue of. Trying to change the stroke landscape in nigeria stroke. In nigeria, basic education has been influenced greatly by these curriculum changes. Nigerians must know what to do when stroke happens. Epidemiological studies of stroke in nigeria are few and far between due to health policy priority and funding availability 5,6,7. This is a retrospective descriptive study of stroke in young nigerian adults. Stroke is commonest cause of hospital admissions in nigeria.

Dominant modifiable risk factors for stroke in ghana and. An exploratory crosssectional survey in nigeria volume 17 issue 2 grace vincentonabajo, adamu usman gamawa, mohammad usman ali, fatima kachalla gujba, mamman ali masta. The burden of stroke in nigeria kolawole wasiu wahab, 2008. To our knowledge this would be the first stroke prevention trial in nigeria and could establish a precedent to expand to secondary stroke prevention for children and adults with sca, as regrettably, no therapy is available to prevent recurrent stroke in these highrisk patients in resourcepoor nations. Improving stroke management through specialized stroke units. Gloria ekeng, founder, stroke care international, on wednesday said that nigeria had over 16, 000 new stroke cases annually. Ekeng disclosed this in an interview with the news agency of nigeria. Blood pressure readings are comprised of two values. This study assessed the pattern of social participation in a sample of nigerian stroke survivors across the first 12 months after stroke. Recent, sudden onset of persistent focal neurologic deficit check for stroke mimics e. Stroke mortality has been noted to be higher in blacks in biracial studies. The guardian nigeria newspaper brings you the latest headlines, opinions, political news, business reports and international news. Stroke recurrence in nigerian children with sickle cell.

It is crucial to identify factors influencing healthrelated quality of life hrqol in stroke survivors in this setting so that such factors can be efficiently manipulated in order to maximize hrqol improvement. There is, however, a dearth of data on the prevalence of recurrent stroke in nigeria. The burden of stroke in nigeria request pdf researchgate. Nigerians must know what to do when stroke happens vanguard. Epidemiology of stroke in a rural community in southeastern nigeria kelechi o enwereji,1 maduaburochukwu c nwosu,1 adesola ogunniyi,2 paul o nwani,1 azuoma l asomugha,1 ezinna e enwereji3 1neurology unit, department of medicine, nnamdi azikiwe university teaching hospital, nnewi, anambra state, nigeria.

Stroke mortality and its predictors in a nigerian teaching. The evidence for the need for change from the usual care of stroke patients in general medical wards to specialized stroke units is undisputable. Nigeria grace vincentonabajo1 and nyangwae daniel shaphant2 abstract background. Stroke is a leading cause of morbidity and mortality worldwide, and it is likely to worsen in developing countries over the next two decades based on the. Sep 12, 2008 the current prevalence of stroke in nigeria is 114 per while the 30. Knowledge of stroke risk factors among stroke survivors in. But in some parts of nigeria, that attack is believed to be spiritualrequiring ferocious prayers, application of anointing oil, holy water, burning. Largest study of stroke patients in africa reveals. Jan 11, 2017 doctors have raised a fresh alarm on the rising cases of strokes and its complications in the country. In spite of the series of curriculum developments over the years, the nigerian education sector.