WEBMAIL
Journal of Clinical and Applied Neurosciences                            Volume 1; Issue 1                                   Jan-Jun 2015
ORIGINAL ARTICLE
Stroke recovery and its predictors in a Nigerian Teaching Hospital
Bertha C EKEH1,
Adesola O OGUNNIYI2, Emmanuel I ISAMADE3, Udeme E EKRIKPO1




AFFILIATIONS
1Dept of Internal Medicine University of Uyo
Akwa Ibom State, NIGERIA
2Dept of Internal Medicine
University of Ibadan
Oyo State, NIGERIA
3Dept of Internal Medicine
University of Jos
Plateau State, NIGERIA

CORRESPONDING AUTHOR
Bertha C EKEH
Dept of Internal Medicine
University of Uyo Teaching Hospital, Abak Road, Uyo
Akwa Ibom State, NIGERIA

E-mail: berthacekeh@yahoo.com, berthaekeh@uniuyo.edu.ng
Phone:    +234 803 4018391
               +234 705 2088085


DISCLOSURES: NONE
ABSTRACT
Background:
The mortality rate from stroke in sub-Saharan Africa has been shown to be high. Not much, however, is known of recovery rate, thereafter. 
Objective: To examine the degree of recovery after stroke.
Methodology: This is a prospective study that was carried out in Jos University Teaching Hospital, Nigeria. Fifty stroke survivors were followed up for 3months. Their degrees of recovery were assessed at 6weeks and 3months. Assessment tools were the Barthel Index and the Modified Rankin Scale. Statistical analysis was with Pearsonís Chi square.
Results: There were 120 acute stroke patients that presented within the period. Seventy-eight (65%) of these survived. Fifty of these survivors (64.1%) were followed up, and at the end of the observation, at least 60% of them had good recovery.  Few had functional dependence (disability). The only predictor of functional recovery was the National Institutes of Health Stroke Scale (NIHSS) score.
Conclusion: The recovery rate from stroke was good in this study despite a high mortality rate. The predictor of recovery was low NIHSS score, which emphasizes the impact of the degree of severity on recovery.

Keywords: Degree, disability, severity, survivors
Received: 25th January, 2015                                                                  Accepted: 9th February, 2015