PDF(Pubmed)
Abstract：
UNASSIGNED: In developing countries, the burden of stroke is growing and causing significant morbidity and disability with high mortality rates. Neuroimaging plays a crucial role in differentiating ischemic stroke from an intracerebral hemorrhage, as well as entities other than stroke. This study sought to determine the correlation between the clinical and brain CT scan findings of stroke patients attending three hospitals in Kampala, Uganda.
UNASSIGNED: This was a cross-sectional study of clinically suspected stroke patients who were sent for brain CT scan at three selected hospitals in Kampala, Uganda. All brain CT scans of patients with suspected stroke were evaluated and the Alberta stroke program early CT score (ASPECTS) was used for middle cerebral artery (MCA) strokes. Univariate analysis was used to describe the clinico-demographic and brain CT features of stroke and summarized them as percentages. Bivariate and multivariate analysis were used to determine the adjusted odds ratios as a measure of association with a 95% confidence interval (CI).
UNASSIGNED: Of the 270 study participants, 141 (52.2%) were male. 162 (60%) had CT findings of stroke, and 90 (33.3%) had normal brain CT findings. Eighteen (6.7%) had other CT findings like tumor, dural hemorrhage, epidermoid cyst, and others. Ischemic stroke, hemorrhagic stroke, and subarachnoid hemorrhage accounted for 124 (45.9%), 34 (12.6%), and 4 (1.5%) respectively. Limb weakness (55.2%), headache (41.1%), and loss of consciousness (39.3%) were associated with stroke findings on CT. Among the acute ischemic strokes, 30 (73.2%) had a worse (0-7) ASPECT score. Those aged ≥65 years were associated with a worse ASPECTS [AOR: 22.01, (95% CI: 1.58-306.09) p = 0.021].
UNASSIGNED: More than a third of patients with a clinical diagnosis of stroke had either no CT features of stroke or had other findings. The most commonly affected vascular territory was left MCA. Old age was strongly associated with having the worst ASPECTS score.
UNASSIGNED: This was a cross-sectional study of clinically suspected stroke patients who were sent for brain CT scan at three selected hospitals in Kampala, Uganda. All brain CT scans of patients with suspected stroke were evaluated and the Alberta stroke program early CT score (ASPECTS) was used for middle cerebral artery (MCA) strokes. Univariate analysis was used to describe the clinico-demographic and brain CT features of stroke and summarized them as percentages. Bivariate and multivariate analysis were used to determine the adjusted odds ratios as a measure of association with a 95% confidence interval (CI).
UNASSIGNED: Of the 270 study participants, 141 (52.2%) were male. 162 (60%) had CT findings of stroke, and 90 (33.3%) had normal brain CT findings. Eighteen (6.7%) had other CT findings like tumor, dural hemorrhage, epidermoid cyst, and others. Ischemic stroke, hemorrhagic stroke, and subarachnoid hemorrhage accounted for 124 (45.9%), 34 (12.6%), and 4 (1.5%) respectively. Limb weakness (55.2%), headache (41.1%), and loss of consciousness (39.3%) were associated with stroke findings on CT. Among the acute ischemic strokes, 30 (73.2%) had a worse (0-7) ASPECT score. Those aged ≥65 years were associated with a worse ASPECTS [AOR: 22.01, (95% CI: 1.58-306.09) p = 0.021].
UNASSIGNED: More than a third of patients with a clinical diagnosis of stroke had either no CT features of stroke or had other findings. The most commonly affected vascular territory was left MCA. Old age was strongly associated with having the worst ASPECTS score.
摘要：
■在发展中国家，中风的负担正在增加，并导致显著的发病率和致残率，高死亡率。神经影像学在区分缺血性卒中和脑出血中起着至关重要的作用，以及中风以外的实体。这项研究旨在确定在坎帕拉三家医院就诊的中风患者的临床和脑部CT扫描结果之间的相关性，乌干达。
这是一项针对临床疑似中风患者的横断面研究，这些患者被送往坎帕拉的三家选定医院进行脑部CT扫描，乌干达。评估了所有可疑中风患者的脑部CT扫描，并将Alberta中风程序早期CT评分（ASPERTS）用于大脑中动脉（MCA）中风。使用单变量分析来描述中风的临床人口统计学和脑部CT特征，并将其总结为百分比。使用双变量和多变量分析来确定调整后的比值比，作为与95％置信区间（CI）相关的度量。
■在270名研究参与者中，141（52.2%）为男性。162（60％）有中风的CT表现，90例(33.3%)脑CT表现正常。18例（6.7%）有其他CT表现，如肿瘤，硬脑膜出血,表皮样囊肿,和其他人。缺血性中风,出血性中风,蛛网膜下腔出血占124例（45.9%），34（12.6%），和4（1.5%）。肢体无力（55.2%），头痛(41.1%)，意识丧失（39.3％）与CT上的卒中发现有关。在急性缺血性中风中，30（73.2％）的ASPECT评分较差（0-7）。那些年龄≥65岁的患者与更差的方面相关[AOR：22.01，（95％CI：1.58-306.09）p=0.021]。
超过三分之一的临床诊断为中风的患者要么没有中风的CT特征，要么有其他发现。最常见的受影响的血管区域是左MCA。老年与ASPECTS评分最差密切相关。
这是一项针对临床疑似中风患者的横断面研究，这些患者被送往坎帕拉的三家选定医院进行脑部CT扫描，乌干达。评估了所有可疑中风患者的脑部CT扫描，并将Alberta中风程序早期CT评分（ASPERTS）用于大脑中动脉（MCA）中风。使用单变量分析来描述中风的临床人口统计学和脑部CT特征，并将其总结为百分比。使用双变量和多变量分析来确定调整后的比值比，作为与95％置信区间（CI）相关的度量。
■在270名研究参与者中，141（52.2%）为男性。162（60％）有中风的CT表现，90例(33.3%)脑CT表现正常。18例（6.7%）有其他CT表现，如肿瘤，硬脑膜出血,表皮样囊肿,和其他人。缺血性中风,出血性中风,蛛网膜下腔出血占124例（45.9%），34（12.6%），和4（1.5%）。肢体无力（55.2%），头痛(41.1%)，意识丧失（39.3％）与CT上的卒中发现有关。在急性缺血性中风中，30（73.2％）的ASPECT评分较差（0-7）。那些年龄≥65岁的患者与更差的方面相关[AOR：22.01，（95％CI：1.58-306.09）p=0.021]。
超过三分之一的临床诊断为中风的患者要么没有中风的CT特征，要么有其他发现。最常见的受影响的血管区域是左MCA。老年与ASPECTS评分最差密切相关。
