Abstract
Objective: To determine the factors associated with prolonged stay of stroke patients in the neurology ward.
Patients and methods: The study included stroke patients admitted in the neurology during the period from January 1, 2019 to December 31, 2019. Stroke were confirmed by computed tomography.
Results: Two hundred of stroke patients were included in the study. The mean age of patients was 57.45 ± 14.32 years. Most patients were male gender (108; 54%). Hypertension (61.5%) and alcohol consumption (28.5%) were the most vascular risk factors. The delay of admission of patients was 3.81 ± 3.009 days. Eleven percent of patients were admitted in the first 24 hours. Thirty percent of patients had severe stroke (NIHSS ≥ 16). Hemorrhagic strokes accounted for 56.5% and ischemic stroke for 43.5%. The mean length of stay was 10.81 ± 5.07 days. The length of stay was >14 days in 28.5%, under 7 days in 20% and between 7 and 14 days in 76% of cases. The factors associated to longer length of stay were high fever, speech disorders, swallowing disorders, consciousness disorders, low physical sessions, vitamin K antagonist treatment and urinary respiratory infections, bedsores and urinary tract infections (p<0.05). In the multiple regression model, there was no factor had significant influence on longer length of stay.
Conclusion: Most stroke patients had longer length of stay in our study. There are not independent factors associated to longer length of stay.
Keywords
Stroke, Length of stay, Factors associated, Neurology ward, Burkina Faso