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Post-stroke Complications and Mortality in Burkinabè Hospitals: Relationships with Deglutition Disorders and Nutritional Status

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Abstract

Stroke frequently causes deglutition disorders, leading to a decline in nutritional status and complications, and increasing mortality. Sub-Saharan data are scarce. The objectives of this study were to assess complications and mortality among hospitalized patients in Burkina Faso during the first two weeks after stroke, and to investigate associated factors. Patients with stroke were followed prospectively in Ouagadougou and Bobo-Dioulasso hospitals. Deglutition disorders and nutritional parameters were assessed at baseline (D0) and on Days 8 (D8) and 14 (D14). Complications and mortality were recorded up to D14. Factors associated with complications and mortality were investigated using multivariate analysis. Of the 222 patients included, 81.5% developed at least one complication, and mortality was 17.1%. At D0, D8, and D14, the rate of deglutition disorders was 37.4%, 28.4%, and 15.8%, respectively, and that of undernourishment 25.2%, 29.4%, and 31.0%, respectively. In multivariate analysis, only the presence of deglutition disorders was a risk factor for developing at least one complication (OR = 5.47, 95% CI 1.81–16.51). Factors predicting death were the presence of deglutition disorders at D0 (OR = 7.19, 95% CI 3.10–16.66), and at least one seizure during follow-up (OR = 3.69, 95% CI 1.63–8.36). After stroke, the rates of complications, death, and undernourishment were high compared to Western countries. Prevention and management of deglutition disorders, and specific follow-up of patients with seizures could reduce post-stroke mortality.

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Acknowledgements

The authors thank the patients who participated in the study, Dr. Francis William for the English reviewing

Funding

Société Francophone de Nutrition Clinique et Métabolisme (SFNCM) via the 2014 Research Award to the author Jeoffray Diendéré with a financial support.

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Authors and Affiliations

  1. Inserm, U1094, Tropical Neuroepidemiology, 2 rue du Dr Marcland, 87025, Limoges Cedex, France

    Jeoffray Diendéré MD, PhD, Athanase Millogo MD, Fayemendy Philippe MD, Marie-Paule Boncoeur-Martel MD, Pierre-Marie Preux MD, PhD, Jean-Claude Desport MD, PhD & Pierre Jésus MD, PhD

  2. UMR_S 1094, Tropical Neuroepidemiology, Institute of Neuroepidemiology and Tropical Neurology, CNRS FR 3503 GEIST, Univ. Limoges, 87000, Limoges, France

    Jeoffray Diendéré MD, PhD, Athanase Millogo MD, Fayemendy Philippe MD, Marie-Paule Boncoeur-Martel MD, Pierre-Marie Preux MD, PhD, Jean-Claude Desport MD, PhD & Pierre Jésus MD, PhD

  3. Institut de Recherche en Sciences de La Santé IRSS/DRO, 03 BP 7192, Ouagadougou 03, Burkina Faso

    Jeoffray Diendéré MD, PhD & Jean Kaboré

  4. Centre Muraz, Bobo-Dioulasso 01, Burkina Faso

    Jeoffray Diendéré MD, PhD & Jean Kaboré

  5. Department of Medicine, Souro Sanou University Hospital, 01 BP 676, Bobo-Dioulasso 01, Burkina Faso

    Athanase Millogo MD

  6. Nutrition Unit and Specialized Centre for Obesity, Dupuytren University Hospital, 2 Avenue Martin Luther King, 87042, Limoges Cedex, France

    Fayemendy Philippe MD, Jean-Claude Desport MD, PhD & Pierre Jésus MD, PhD

  7. Department of Neurology, Yalgado Ouédraogo University Hospital, 03 BP 7022, Ouagadougou 03, Burkina Faso

    Christian Napon MD & Anselme Dabilgou MD

  8. Ouaga I Pr Joseph Ki-Zerbo University, Ouagadougou, Burkina Faso

    Jeoffray Diendéré MD, PhD, Athanase Millogo MD, Christian Napon MD & Anselme Dabilgou MD

  9. Department of Physical Medicine and Rehabilitation, University Hospital Center of Limoges, 2, avenue Martin Luther King, 87042, Limoges Cedex, France

    Jean-Yves Salle MD, PhD

  10. Institut de Recherche en Sciences de la Santé IRSS/DRO, 399 Avenue de la Liberté, 01 BP 545, Bobo-Dioulasso 01, Burkina Faso

    Jeoffray Diendéré MD, PhD

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  1. Jeoffray Diendéré MD, PhD
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  4. Jean Kaboré
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Correspondence to Jeoffray Diendéré MD, PhD.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional research committee (Health Sciences Research Institute, No. 020/2017/CEIRES) and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Diendéré, J., Millogo, A., Philippe, F. et al. Post-stroke Complications and Mortality in Burkinabè Hospitals: Relationships with Deglutition Disorders and Nutritional Status. Dysphagia 36, 85–95 (2021). https://doi.org/10.1007/s00455-020-10111-4

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