Research

Case fatality of patients with stroke over a 12-month period post stroke

W Mudzi, A Stewart, E Musenge

Abstract


Introduction. Stroke is among the top 4 causes of death in South Africa and the top 10 leading causes of disability worldwide. There is a dearth of literature on stroke incidence, prevalence and outcome in sub-Saharan Africa. We aimed to establish the case fatality of stroke patients over a 12-month period post discharge from hospital.

Methods. A total of 200 patients with first-time ischaemic stroke were recruited from Chris Hani Baragwanath Academic Hospital and followed up for 12 months. The Barthel Index (BI) and Rivermead Mobility Index (RMI) were used to establish patient functional ability and, by inference, stroke severity. Follow-up assessments were performed at 3, 6 and 12 months post discharge. Data analysis was largely descriptive in nature.

Results. Thirty-eight per cent of patients died within the 12 month follow-up period; 25.5% within 3 months of discharge. The average length of hospital stay was 6 days. Low BI scores at discharge were observed in the majority of patients who died.

Conclusion. The 12-month cumulative mortality was high (highest at the 3-month follow-up). The short hospital stay and poor functional ability of the patients post stroke possibly left them vulnerable to bed-rest complications, such as chest infections and pressure sores.

Authors' affiliations

W Mudzi, Department of Physiotherapy, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg

A Stewart, Department of Physiotherapy, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg

E Musenge, Biostatistics and Epidemiology Division, School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg

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Keywords

Stroke; Case fatality

Cite this article

South African Medical Journal 2012;102(9):765-767. DOI:10.7196/SAMJ.5742

Article History

Date submitted: 2012-02-15
Date published: 2012-08-22

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