MORTALITY AMONG PATIENTS ADMITTED FOR ACUTE STROKE IN SOURO SANOU TEACHING HOSPITAL OF BOBO-DIOULASSO; BURKINA FASO

Introduction Strokes are frequent medical emergencies in the world, especially in Africa, where they are burdened by a heavy mortality. Objective Our objective was to analyze mortality and factors linked to the prognosis for survival of the patients hospitalized for stroke in SourO SANOU teaching hospital of Bobo-Dioulasso. Methodology It was a retrospective study concerning the cases of 331 patients admitted to hospital for stroke from January 1st, 2009 to December 31st, 2013. Results The mean age was 61.01 (+/- 13 years). The sex-ratio was 1.58. Chronic high blood pressure (68.23 %), smoking (18.85 %), history of stroke (17.69 %), diabetes (7.35 %) were the most frequent cerebro-vascular risk factors in past medical history. The average time for consultation was 24 hours (42.54 %). Loss of consciousness was noted in 38.20 % of the stroke patients. The fatality rate was 28.21 % occurring mostly during the first 24 hours. The factors associated with mortality were age (p=0.001; OR 2.4 ; IC95% :1.4-4.1), coma (p<0.001; OR= 3.8 ; IC95% :1.8-8.1), type of stroke (p=0.007; OR= 2.0 ; IC95%:1.2-3.3), prescription of resuscitation's measures (p <0.001; OR= 3.5 ; IC95%:1.6-7.8) and hospitalization in resuscitation unit (p <0,001; OR= 9.9 ; IC95%: 4.8-20.6). Conclusion The in hospital mortality remains high and occurs mainly in acute stage in stroke patients in Bobo Dioulasso.