Lived post-stroke of a Senegalese cohort: What risk factor for what quality of life items?

OBJECTIVE: Therefore, the aim of our study was to determine risk factors for poor quality of life by considering disability after stroke in its multidimensional aspects but also to see the impact of each risk factor on the dimensions of quality of life.

MATERIAL/PATIENTS AND METHODS: A prospective study of stroke patients confirmed, followed by neurovascular consultation at Fann Hospital in Dakar has been achieved. Quality of life was evaluated by the 65 Sikness Impact Profile (SIP 65), the depression by the scale of Beck.

RESULTS: We included 70 men and 30 women with a mean age of 55.25 years. The education rate was 56.12%. Hypertension (65%); musculoskeletal diseases (26.26%) were the major associated defects. Ischemic stroke was predominant. Depression was observed in 53% of cases. The outputs of the house and in the city were respectively arrested in 50% and 73% of cases. Most of the patients, 61%, were conducting any activity at home. Age was associated with an orientation problem in time significantly (P=0.02), musculoskeletal diseases to need help dressing (P=0.03); the degree of disability to need help to sit and sleep (P=0.00003), a lack of sleep the night (P=0.00002) and a home asset; depression suffering of sexual life (P=0.002), a shortened working time (P=0.005) and reduced leisure time (P=0.0004).

DISCUSSION - CONCLUSION: The sedentary post stroke Senegalese patients can't be explained solely by altering the physical dimensions of quality of life. All the more that disability assessed by the Barthel showed that locomotion is possible in over 50% of cases.