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Coût des Accidents Vasculaires Cérébraux à l’Hôpital Général De Douala
| Content Provider | Semantic Scholar |
|---|---|
| Author | Njankouo, Yacouba Mapoure Tegue, Callixte Kuate Kouna, Pierre Eric Bibaya Anaba Namme, Henry Luma Sone, Albert Mouelle Kongnyu, Alfred Njamnshi |
| Copyright Year | 2014 |
| Abstract | OBJECTIFS Les accidents vasculaires cerebraux (AVC) vont constituer un defi pour les systemes de soins en Afrique Subsaharien. L’objectif de ce travail etait d’evaluer les couts de la prise en charge des AVC a l’Hopital General de Douala (HGD). PATIENTS ET METHODES Il s’agit d’une etude transversale prospective qui s'est deroulee sur une periode de 12 mois allant d'Avril 2012 a Mars 2013, a l'unite de neurologie de l'HGD. Etaient inclus tous les patients âges de plus de 15 ans, hospitalises pour AVC confirme par le scanner cerebral. Les patients avec hemorragie sous arachnoidienne, thrombose veineuse cerebrale et ceux pris en charge chirurgicalement ont ete exclus. Les tests de Chi2 et de Student T ont ete utilises pour comparer respectivement les variables qualitatives et les variables quantitatives. RESULTATS 71 cas d'AVC ont ete recenses dont 56,3% d’hommes. L’âge moyen etait de 60 ±12,49 ans. Les AVC ischemiques representaient 63,4% des cas. La duree moyenne d’hospitalisation etait de 10,06 ± 9,86 jours et la duree moyenne de suivi extrahospitalier etait de 9 ± 2 mois. Le cout total des AVC a ete estime a 60 075 593F CFA soit un cout moyen de 802 355 F CFA par patient. Il n’y avait pas de difference significative de cout entre les deux types d’AVC. Le cout de soin le plus onereux etait celui de la kinesitherapie. CONCLUSION Le cout de la prise en charge des AVC est eleve et suggere qu’une politique nationale de subvention de ces soins soit mise en place. ABSTRACT BACKGROUND Stroke is the second leading cause of death worldwide and will constitute a major challenge for Sub-Saharan African. The aim of this study was to evaluate the cost of stroke in the Douala General Hospital in Cameroon (DGH). PATIENTS AND METHODs We carried out a 12 month descriptive study from 1st April 2012 to March 2013 in the neurology unit of internal medicine department of DGH. Were included patients aged above 15 years with established diagnosis of stroke by brain CT scan. Cases of subarachnoid hemorrhage, cerebral venous thrombosis and those operated for stroke were excluded. Chi square and Student T tests were used respectively to compare qualitative and quantitative variables. RESULTS 71 strokes were recorded with 56.3% of male. t the mean age was 60 ± 12.49 years. Ischemic stroke represents 63.4%. The mean duration of hospitalization was 10.06 ± 9.86 days while the mean time of follow-up after hospitalization was 9 ± 2 months. The total cost of stroke was 60 075 583 francs CFA for a mean cost per patient of 802 355 francs CFA. There were no significant differences between the cost of ischemic and hemorrhagic stroke. Physiotherapy represents the most expensive part of care. CONCLUSION Stroke cost is high in our context and suggest that a national program should be implemented to reduce this cost. |
| File Format | PDF HTM / HTML |
| Volume Number | 15 |
| Alternate Webpage(s) | https://www.hsd-fmsb.org/index.php/hsd/article/download/425/pdf_198 |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
