Stroke mortality in Accra: A study of risk factors

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dc.contributor.authorWiredu, E.K.
dc.contributor.authorNyame, P.K.
dc.date.accessioned2019-10-22T14:46:39Z
dc.date.available2019-10-22T14:46:39Z
dc.date.issued2001-12
dc.descriptionJournal Articleen_US
dc.description.abstractWe studied risk factors in consecutive autopsy cases of fatal strokes in persons aged 20 years and above at the Korle Bu Teaching Hospital, Accra. The presence of the following modifiable risk factors was noted: Hypertension. atherosclerosis, diabetes mellitus, cardiac diseases and obesity. Nonmodifiable risk factors noted were age and sex. We calculated the age-adjusted proportionate mortality for each sex and assessed sex differences using the X2 with Yates correction. Mortality from stroke rose with age, increasing suddenly after 39 years, peaking at 50-59 years in males and 70ยท79 years in females, and declining thereafter. There were sex differences in mortality with male proportionate mortality exceeding females up to 39 years after which female proportionate deaths were higher than in males. Haemorrhagic stroke was a more common cause of death than infarctive stroke before 70 years in males and 60 years in females, After these ages, there was a reversion with more deaths from infarction than haemorrhage. Hypertension was the dominant risk factor of stroke mortality being involved in 77% of all cases. However, cerebral atherosclerosis was the main risk factor for infective stroke, but appeared unimportant in cerebral haemorrhage. Other risk factors such as diabetes mellitus, thrombotic phenomena, and pre-existing cardiac disease were present in a minority of cases. Obesity as a risk factor for stroke appeared to be more of a female problem than a male one. The results of the study are compared with those of studies conducted elsewhere and the role of each risk factor in stroke is discussed.en_US
dc.identifier.urihttp://www.ghanamedj.org/archives/GMJ%202001%20Vol%2035%20No%204/Stroke%20mortality%20in%20Ghana.pdf
dc.identifier.urihttp://ugspace.ug.edu.gh/handle/123456789/32992
dc.language.isoenen_US
dc.publisherGhana Medical Journalen_US
dc.relation.ispartofseries35;4
dc.subjectStrokeen_US
dc.subjectcerebral haemorrhageen_US
dc.subjectcerebral infarctionen_US
dc.subjectmortalityen_US
dc.subjectrisk factorsen_US
dc.subjectKorle Bu Teaching Hospitalen_US
dc.subjectGhanaen_US
dc.titleStroke mortality in Accra: A study of risk factorsen_US
dc.typeArticleen_US

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