Kenya recording higher death rates in admitted stroke patients than in outpatients

By Gatonye Gathura

A study conducted at Kenyatta National Hospital and Moi Teaching and Referral Hospital shows outpatient stroke patients to be surviving longer than inpatients in the two facilities.

Researchers affiliated to the facilities, are recommending a review of the quality of care that is being given to stroke patients at the two hospitals.

“There were significant differences in patient survival, with outpatients surviving longer than inpatients,” says the study. The study appears in the May-August issue of the Cerebrovascular Diseases journal.

Carried out by among others, researchers from Kenyatta hospital and Moi University, Eldoret, the study had followed 716 stroke patients from the two facilities for one year.

“Adult patients with confirmed cases of stroke were recruited from February 2015 to January 2016 and followed up for a minimum period of one year.”

By the third month there were 245 or 34.1 per cent deaths, by month 6 it was 272 deaths, by month 9 it was 290 and by month 12 it was 300 or 41.7 per cent deaths.

This rate of deaths the researchers say is too high by any standards and was higher in inpatients than outpatients in women than men and increased with age.

Death due to stroke, the authors say is high, with poor survival in the first year after stroke. Men have favorable outcomes compared to women with the risk increasing with age and being an inpatient.

The authors want the quality of stroke care in the whole health system and at the two facilities improved.

“There is a need to develop customized stroke care protocols and to address quality of care and the long-term needs of stroke patients in Kenya.”

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