Stroke Epidemiology, Care, and Outcomes in Kenya: A Scoping Review
Background: Stroke is a leading cause of death and disability in sub-Saharan Africa with increasing incidence. In Kenya, it is a neglected condition with a paucity of evidence despite its need for urgent care and hefty economic burden. Therefore, we reviewed studies on stroke epidemiology, care, and...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2021-12-01
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| Series: | Frontiers in Neurology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fneur.2021.785607/full |
| _version_ | 1819102408556412928 |
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| author | Peter Waweru Samwel Maina Gatimu |
| author_facet | Peter Waweru Samwel Maina Gatimu |
| author_sort | Peter Waweru |
| collection | DOAJ |
| description | Background: Stroke is a leading cause of death and disability in sub-Saharan Africa with increasing incidence. In Kenya, it is a neglected condition with a paucity of evidence despite its need for urgent care and hefty economic burden. Therefore, we reviewed studies on stroke epidemiology, care, and outcomes in Kenya to highlight existing evidence and gaps on stroke in Kenya.Methods: We reviewed all published studies on epidemiology, care, and outcomes of stroke in Kenya between 1 January 1990 to 31 December 2020 from PubMed, Web of Science, EBSCOhost, Scopus, and African journal online. We excluded case reports, reviews, and commentaries. We used the Newcastle-Ottawa scale adapted for cross-sectional studies to assess the quality of included studies.Results: Twelve articles were reviewed after excluding 111 duplicates and 94 articles that did not meet the inclusion criteria. Five studies were of low quality, two of medium quality, and five of high quality. All studies were hospital-based and conducted between 2003 and 2017. Of the included studies, six were prospective and five were single-center. Stroke patients in the studies were predominantly female, in their seventh decade with systemic hypertension. The mortality rate ranged from 5 to 27% in-hospital and 23.4 to 26.7% in 1 month.Conclusions: Our study highlights that stroke is a significant problem in Kenya, but current evidence is of low quality and limited in guiding policy development and improving stroke care. There is thus a need for increased investment in hospital- and community-based stroke care and research. |
| first_indexed | 2024-12-22T01:34:05Z |
| format | Article |
| id | doaj.art-aad9f35e1bf44d25ae6638a55fb92919 |
| institution | Directory Open Access Journal |
| issn | 1664-2295 |
| language | English |
| last_indexed | 2024-12-22T01:34:05Z |
| publishDate | 2021-12-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neurology |
| spelling | doaj.art-aad9f35e1bf44d25ae6638a55fb929192022-12-21T18:43:26ZengFrontiers Media S.A.Frontiers in Neurology1664-22952021-12-011210.3389/fneur.2021.785607785607Stroke Epidemiology, Care, and Outcomes in Kenya: A Scoping ReviewPeter Waweru0Samwel Maina Gatimu1Department of Neurosurgery, Kenyatta University Teaching, Referral and Research Hospital, Nairobi, KenyaDiabetic Foot Foundation of Kenya, Nairobi, KenyaBackground: Stroke is a leading cause of death and disability in sub-Saharan Africa with increasing incidence. In Kenya, it is a neglected condition with a paucity of evidence despite its need for urgent care and hefty economic burden. Therefore, we reviewed studies on stroke epidemiology, care, and outcomes in Kenya to highlight existing evidence and gaps on stroke in Kenya.Methods: We reviewed all published studies on epidemiology, care, and outcomes of stroke in Kenya between 1 January 1990 to 31 December 2020 from PubMed, Web of Science, EBSCOhost, Scopus, and African journal online. We excluded case reports, reviews, and commentaries. We used the Newcastle-Ottawa scale adapted for cross-sectional studies to assess the quality of included studies.Results: Twelve articles were reviewed after excluding 111 duplicates and 94 articles that did not meet the inclusion criteria. Five studies were of low quality, two of medium quality, and five of high quality. All studies were hospital-based and conducted between 2003 and 2017. Of the included studies, six were prospective and five were single-center. Stroke patients in the studies were predominantly female, in their seventh decade with systemic hypertension. The mortality rate ranged from 5 to 27% in-hospital and 23.4 to 26.7% in 1 month.Conclusions: Our study highlights that stroke is a significant problem in Kenya, but current evidence is of low quality and limited in guiding policy development and improving stroke care. There is thus a need for increased investment in hospital- and community-based stroke care and research.https://www.frontiersin.org/articles/10.3389/fneur.2021.785607/fullstrokeKenyasub-Saharan AfricaAfricaEast Africa |
| spellingShingle | Peter Waweru Samwel Maina Gatimu Stroke Epidemiology, Care, and Outcomes in Kenya: A Scoping Review Frontiers in Neurology stroke Kenya sub-Saharan Africa Africa East Africa |
| title | Stroke Epidemiology, Care, and Outcomes in Kenya: A Scoping Review |
| title_full | Stroke Epidemiology, Care, and Outcomes in Kenya: A Scoping Review |
| title_fullStr | Stroke Epidemiology, Care, and Outcomes in Kenya: A Scoping Review |
| title_full_unstemmed | Stroke Epidemiology, Care, and Outcomes in Kenya: A Scoping Review |
| title_short | Stroke Epidemiology, Care, and Outcomes in Kenya: A Scoping Review |
| title_sort | stroke epidemiology care and outcomes in kenya a scoping review |
| topic | stroke Kenya sub-Saharan Africa Africa East Africa |
| url | https://www.frontiersin.org/articles/10.3389/fneur.2021.785607/full |
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