Original Research

Acute stroke in the emergency department: A chart review at KwaZulu-Natal hospital

Steve G. Feris, Bavani Naicker
South African Family Practice | Vol 62, No 1 : Part 3| a5126 | DOI: https://doi.org/10.4102/safp.v62i1.5126 | © 2020 Steve G. Feris, Bavani Naicker | This work is licensed under CC Attribution 4.0
Submitted: 21 April 2020 | Published: 20 August 2020

About the author(s)

Steve G. Feris, Division of Emergency Medicine, School of Clinical Medicine, University of KwaZulu-Natal, Durban, South Africa
Bavani Naicker, Division of Emergency Medicine, School of Clinical Medicine, University of KwaZulu-Natal, Durban, South Africa


Share this article

Bookmark and Share

Abstract

Background: Stroke is the second leading cause of death worldwide. There is limited literature detailing the clinical profile of stroke in developing countries’ emergency departments (EDs). The aim of this study is to describe the demographics and risk factors of patients presenting with stroke to an ED in South Africa.

Methods: This study was a retrospective chart review of all patients with a clinical diagnosis of stroke presenting to an ED of a regional hospital in rural KwaZulu-Natal from November 2018 to November 2019.

Results: A total of 362 patient charts were screened, and 136 of the charts met the inclusion criteria for the study. Seventy per cent of the patients had pre-existing hypertension, only one patient was not on treatment and two patients were not on secondary prevention. In human immunodeficiency virus–positive patients (20.5%; n = 28), 17 patients were under 50 years old. The most common finding on computer tomography was ischemic strokes (74%, n = 100). Thrombolysis was given to five patients included in the study. The overall in-hospital mortality rate was 4.06%.

Conclusion: This study adds to the limited data about stroke in South Africa. Our population represents a unique blend of infectious and lifestyle disease. More research in this setting is recommended to develop local guidelines on emergency stroke care.


Keywords

stroke; emergency medicine; rural health; primary care; neurology

Metrics

Total abstract views: 356
Total article views: 388


Crossref Citations

No related citations found.