Stroke in Sierra Leone: Case fatality rate and functional outcome after stroke in Freetown.
Daniel YoukeeGibrilla F DeenMamadu BaldehZainab F ContehJulia Fox-RushbyMusa GbessayJotham JohnsonPeter LanghorneAndrew Jm LeatherDurodami R LiskIain J MarshallJessica O'HaraSahr PessimaAnthony G RuddMarina Soley-BoriMelvina ThompsonHatem WafaYanzhong WangCaroline Leigh WatkinsChristine E WilliamsCharles DA WolfeCatherine M SackleyPublished in: International journal of stroke : official journal of the International Stroke Society (2023)
Stroke affected younger people and resulted in high rates of fatality and functional impairment relative to global averages. Key clinical priorities for reducing fatality include preventing stroke-related complications through evidence-based stroke care, improved detection and management of atrial fibrillation, and increasing coverage of secondary prevention. Further research into care pathways and interventions to encourage care seeking for less severe strokes should be prioritized, including reducing the cost barrier for stroke investigations and care.
Keyphrases
- atrial fibrillation
- healthcare
- palliative care
- quality improvement
- affordable care act
- oral anticoagulants
- left atrial
- catheter ablation
- heart failure
- left atrial appendage
- direct oral anticoagulants
- mental health
- physical activity
- early onset
- coronary artery disease
- risk factors
- left ventricular
- chronic pain
- subarachnoid hemorrhage
- quantum dots