Stroke

A realistic approach to a growing problem in sub-Saharan Africa is urgently needed

Kehinde O. Kolapo, Sandro Vento

Research output: Contribution to journalArticle

20 Citations (Scopus)

Abstract

Stroke is an increasing problem in sub-Saharan Africa, even in children. High rates of hypertension, diabetes, alcohol abuse, smoking, insufficient fruit and vegetable consumption, sickle cell disease, HIV infection, antiretroviral use and race are likely contributing factors. Although often considered as related to increasing wealth, stroke is more strongly related to poverty, and in turn increases it. Case-fatality rates are high and premature death and years of life lost are a major problem. We propose an approach to stroke prevention and treatment that takes into account the real situation on the ground and can be applied in sub-Saharan Africa, an area where stroke units are largely not feasible and many patients do not reach hospitals. Involvement of community and faith-based organisations, use of simple diagnostic tests, emphasis on clinical examination to differentiate between haemorrhagic and ischaemic stroke, prompt initiation of aspirin therapy and training of community nurses on essential management of stroke should be urgently implemented.

Original languageEnglish
Pages (from-to)707-710
Number of pages4
JournalTropical Medicine and International Health
Volume16
Issue number6
DOIs
Publication statusPublished - Jun 2011
Externally publishedYes

Fingerprint

Africa South of the Sahara
Stroke
Premature Mortality
Sickle Cell Anemia
Poverty
Routine Diagnostic Tests
Vegetables
Alcoholism
Aspirin
HIV Infections
Fruit
Smoking
Nurses
Organizations
Hypertension
Mortality
Therapeutics

Keywords

  • Prevention
  • Stroke
  • Sub-Saharan Africa
  • Treatment

ASJC Scopus subject areas

  • Parasitology
  • Infectious Diseases
  • Public Health, Environmental and Occupational Health

Cite this

Stroke : A realistic approach to a growing problem in sub-Saharan Africa is urgently needed. / Kolapo, Kehinde O.; Vento, Sandro.

In: Tropical Medicine and International Health, Vol. 16, No. 6, 06.2011, p. 707-710.

Research output: Contribution to journalArticle

@article{fe99af96ecd64220a92a80fbc9b57769,
title = "Stroke: A realistic approach to a growing problem in sub-Saharan Africa is urgently needed",
abstract = "Stroke is an increasing problem in sub-Saharan Africa, even in children. High rates of hypertension, diabetes, alcohol abuse, smoking, insufficient fruit and vegetable consumption, sickle cell disease, HIV infection, antiretroviral use and race are likely contributing factors. Although often considered as related to increasing wealth, stroke is more strongly related to poverty, and in turn increases it. Case-fatality rates are high and premature death and years of life lost are a major problem. We propose an approach to stroke prevention and treatment that takes into account the real situation on the ground and can be applied in sub-Saharan Africa, an area where stroke units are largely not feasible and many patients do not reach hospitals. Involvement of community and faith-based organisations, use of simple diagnostic tests, emphasis on clinical examination to differentiate between haemorrhagic and ischaemic stroke, prompt initiation of aspirin therapy and training of community nurses on essential management of stroke should be urgently implemented.",
keywords = "Prevention, Stroke, Sub-Saharan Africa, Treatment",
author = "Kolapo, {Kehinde O.} and Sandro Vento",
year = "2011",
month = "6",
doi = "10.1111/j.1365-3156.2011.02759.x",
language = "English",
volume = "16",
pages = "707--710",
journal = "Tropical Medicine and International Health",
issn = "1360-2276",
publisher = "Wiley Blackwell",
number = "6",

}

TY - JOUR

T1 - Stroke

T2 - A realistic approach to a growing problem in sub-Saharan Africa is urgently needed

AU - Kolapo, Kehinde O.

AU - Vento, Sandro

PY - 2011/6

Y1 - 2011/6

N2 - Stroke is an increasing problem in sub-Saharan Africa, even in children. High rates of hypertension, diabetes, alcohol abuse, smoking, insufficient fruit and vegetable consumption, sickle cell disease, HIV infection, antiretroviral use and race are likely contributing factors. Although often considered as related to increasing wealth, stroke is more strongly related to poverty, and in turn increases it. Case-fatality rates are high and premature death and years of life lost are a major problem. We propose an approach to stroke prevention and treatment that takes into account the real situation on the ground and can be applied in sub-Saharan Africa, an area where stroke units are largely not feasible and many patients do not reach hospitals. Involvement of community and faith-based organisations, use of simple diagnostic tests, emphasis on clinical examination to differentiate between haemorrhagic and ischaemic stroke, prompt initiation of aspirin therapy and training of community nurses on essential management of stroke should be urgently implemented.

AB - Stroke is an increasing problem in sub-Saharan Africa, even in children. High rates of hypertension, diabetes, alcohol abuse, smoking, insufficient fruit and vegetable consumption, sickle cell disease, HIV infection, antiretroviral use and race are likely contributing factors. Although often considered as related to increasing wealth, stroke is more strongly related to poverty, and in turn increases it. Case-fatality rates are high and premature death and years of life lost are a major problem. We propose an approach to stroke prevention and treatment that takes into account the real situation on the ground and can be applied in sub-Saharan Africa, an area where stroke units are largely not feasible and many patients do not reach hospitals. Involvement of community and faith-based organisations, use of simple diagnostic tests, emphasis on clinical examination to differentiate between haemorrhagic and ischaemic stroke, prompt initiation of aspirin therapy and training of community nurses on essential management of stroke should be urgently implemented.

KW - Prevention

KW - Stroke

KW - Sub-Saharan Africa

KW - Treatment

UR - http://www.scopus.com/inward/record.url?scp=79955749637&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=79955749637&partnerID=8YFLogxK

U2 - 10.1111/j.1365-3156.2011.02759.x

DO - 10.1111/j.1365-3156.2011.02759.x

M3 - Article

VL - 16

SP - 707

EP - 710

JO - Tropical Medicine and International Health

JF - Tropical Medicine and International Health

SN - 1360-2276

IS - 6

ER -