Pattern of Neurologic Emergencies in Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia

Gebrezgabiher, Selemon (2014) Pattern of Neurologic Emergencies in Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia. Masters thesis, Addis Ababa University.

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Abstract

Neurological emergencies are a frequent presentations and often times with devastating short and long term consequences. Neurological disorders are increasingly prevalent in SubSaharan Africa with the paucity of data on adult neurological emergencies in the region. The objective of the study was to determine the pattern of neurologic emergencies in TASH, Addis Ababa, Ethiopia. Medical records of 311 adult patients presented to Tikur Anbessa Specialized University Hospital from February 1, 2013 to January 31, 2014 were reviewed retrospectively. The mean age of the patients was 44.681.1 years. Males outnumbered Females giving a sex ratio (M: F) of 1.22:1. Neurological emergencies accounted for 5.27% of the total medical emergencies. The most common neurologic emergencies were cerebrovascular disorder (54%), neurologic complications of HIV/AIDS (9%), meningitis (8.7%) and seizure disorder (7.7%). Hemiparesis, altered mental status and convulsion were the common presenting features accounting 44%, 19.3% and 13.1%, respectively. The overall mortality rate of neurologic emergencies was 27.3% with the highest case fatality rate from Encephalopathy 53.8% followed by Tetanus 50%, neurologic complications of HIV/AIDS 39.3%, meningitis 37% and cerebrovascular disorder 27.4%. It will be very useful for health care policy makers if they focus on planning for better management and prevention of common neurologic emergencies.

Item Type: Thesis (Masters)
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions: Africana
Depositing User: Emmanuel Ndorimana
Date Deposited: 23 Jul 2018 13:52
Last Modified: 23 Jul 2018 13:52
URI: http://thesisbank.jhia.ac.ke/id/eprint/7967

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