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Stroke Mortality in Kenya's Public Tertiary Hospitals: A Prospective Facility-Based Study
Lydia Kaduka1, Erastus Muniu1, Chrispine Oduor2
1Centre for Public Health Research, Kenya Medical Research Institute, Nairobi, Kenya.
Cerebrovascular Diseases Extra
|June 13, 2018
Summary
Stroke incidence density in Kenya is high, with significant mortality within the first year post-stroke. Advanced age and longer hospital stays increase stroke mortality risk.
Area of Science:
- Neurology
- Public Health
- Epidemiology
Background:
- Limited stroke data from Kenya hinders effective decision-making.
- Sub-Saharan Africa faces poor health outcomes associated with stroke.
- This study addresses the data gap on stroke incidence and mortality in Kenyan tertiary hospitals.
Purpose of the Study:
- To determine stroke incidence density in Kenya.
- To establish stroke-related mortality rates.
- To inform clinical practice and public health policy in Kenya.
Main Methods:
- Prospective study at Kenyatta National Hospital and Moi Teaching and Referral Hospital.
- Recruited adult stroke patients from February 2015 to January 2016.
- Utilized WHO Stroke STEPS instrument for data collection and Cox proportional hazards model for analysis.
Main Results:
- Recruited 719 patients; mean age 58.6 years; 56.1% ischemic stroke.
- Day 10 and day 28 mortality rates were 18.4% and 26.7%; inpatient mortality was 21.6%.
- Stroke incidence density was 507 deaths/1000 person-years; mortality increased with age and hospital stay duration.
Conclusions:
- High stroke mortality observed, with poor survival in the first year.
- Increasing age and hospital stay duration are associated with increased mortality risk.
- Enhance public health initiatives for early screening, diagnosis, and improved quality of care for stroke patients.