Frequency, nursing managements and stroke patients’ outcomes among patients admitted to Tikur Anbessa specialized hospital, Addis Ababa, Ethiopia a retrospective, institution based cross-sectional study

Abstract

Background and purpose: Stroke is becoming the leading cause of morbidity and mortality throughout the Globe. Dysfunctions like anxiety, depression, sleep and sexual disorder; sensory, motor, cognitive and communication are prevalent alterations in stroke patients. These situations make them dependent on nursing interventions. The aim of this study is to determine the prevalence, nursing managements provided and stroke patient’s outcomes. Methodology: Retrospective cross sectional study design was conducted among all new stroke patients admitted to Tikur Anbessa Specialized Hospital (TASH) from July1/2015 to Feb30/2018, Addis Ababa, Ethiopia. Results: Stroke prevalence was 19.3%. Ischemic stroke was commonest of stroke which is 87 (51.2%) with an ischemic to hemorrhagic stroke ratio of 1.36:1.Ten-years increase in patients’ age leads to a 25% higher risk for ischemic stroke. Younger adults had 8.587 higher chances to improve free off complications than older adults did (OR = 8.6 95%CI (2.4, 30.5). Patients who early mobilized had 8.991times higher chance of outcome with improved without complications (OR = 8.991 95%CI (2.9, 27.0). Aspiration pneumonia was the leading cause of death accounting for 39% of all causes. Conclusion: Stroke is on rising in Ethiopia, the occurrence rises with age (peak between 35 and 65 years). Younger adult patients (18–34 years) were 18.2% of patients, which is more dangerous in view of the early occurrences of stroke, which leads for a higher and prolonged disability adjusted life years.

Keywords

• Chart review
• Nursing management
• Stroke patients’ outcome
• Stroke prevalence