Ezejimofor, Martinsixtus C., Uthman, Olalekan A., Maduka, Omosivie, Ezeabasili, Aloysius C., Onwuchekwa, Arthur C., Ezejimofor, Benedeth C., Asuquo, Eme, Chen, Y-F.‏‎, Stranges, Saverio and Kandala, Ngianga-Bakwin (2017) Stroke survivors in Nigeria : a door-to-door prevalence survey from the Niger Delta region. Journal of the Neurological Sciences, 372 . pp. 262-269. doi:10.1016/j.jns.2016.11.059 ISSN 0022-510X.

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Abstract

The burden of stroke has been projected to increase in low-and middle-income countries due to the ongoing epidemiological transition. However, community-based stroke prevalence studies are sparse in sub-Saharan Africa particularly in Nigeria. This study aimed to provide a comparative estimate of the prevalence of stroke survivors in the rural Niger Delta region. A three-phased door–to-door survey was conducted using WHO modified instruments. In the first-phase, 2028 adults (≥18 years) participants randomly selected from two rural communities were screened by trained health research assistants for probable stroke. In the second phase, suspected cases were screened with stroke-specific tool. Positive cases were made to undergo complete neurological evaluation by two study neurologist in phase-three. Stroke diagnosis was based on clinical evaluation using WHO criteria. Overall, 27 (8 first-ever and 19 recurrent cases) stroke survivors with crude prevalence of 13.31/1000 (95% CI, 8.32–18.31) and a non-significant difference in prevalence between the two study communities were found, (P = 0.393I). In addition, age-adjusted prevalence of stroke survivors was 14.6/1000 person, about 7-folds higher than previous estimates outside the Niger Delta region. The prevalence increases significantly with advancing in age, P < 0·001. Among others, hypertension (92.59%) was the commonest risk factor and comorbidity found. Improved stroke surveillance and care, as well as better management of the underlying risk factors, primarily undetected or uncontrolled high blood pressure, remains a public health priority.

Item Type:	Journal Article
Subjects:	R Medicine > RC Internal medicine
Divisions:	Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Population, Evidence & Technologies (PET) Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH):	Cerebrovascular disease -- Nigeria, Cerebrovascular disease -- Patients -- Nigeria, Cerebrovascular disease -- Niger River Delta (Nigeria)
Journal or Publication Title:	Journal of the Neurological Sciences
Publisher:	Elsevier BV
ISSN:	0022-510X
Official Date:	15 January 2017
Dates:	Date Event 15 January 2017 Published 25 November 2016 Available 23 November 2016 Accepted 24 June 2016 Submitted
Volume:	372
Page Range:	pp. 262-269
DOI:	10.1016/j.jns.2016.11.059
Status:	Peer Reviewed
Publication Status:	Published
Access rights to Published version:	Restricted or Subscription Access
Date of first compliant deposit:	4 November 2019
Date of first compliant Open Access:	4 November 2019
RIOXX Funder/Project Grant:	Project/Grant ID RIOXX Funder Name Funder ID PTDF/OSS/663/12 Petroleum Technology Development Fund http://dx.doi.org/10.13039/501100009614
Related URLs:	Other Repository

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