1. Prevalence and Predictors of Post Stroke Disability among Nigerian Stroke Survivors
Olufemi O. Oyewole (PhD)1, Michael O. Ogunlana (PhD)2, Kolawole S. Oritogun (Msc)3
1. Physiotherapy Department, Olabisi Onabanjo University Teaching Hospital, Sagamu, Nigeria
2. Physiotherapy Departments, Federal Medical Centre, Abeokuta, Nigeria
3. Department of Community Medicine and Primary Care, Olabisi Onabanjo University, Sagamu, Nigeria
Acknowledgements
•The ethic committee of OOUTH approved the study.
•Thanks to Dr. Gbiri C.A for the input.
•Presented @ NSP 55th annual scientific conference, 2015, Lokoja, Kogi
State. Nigeria.
Conclusion
There was high prevalence of post stroke disability
predicted by age.
Participants
•112 consecutive stroke survivors recruited from:
OOUTH, Sagamu
FMC, Abeokuta
•Inclusion criteria:
survived stroke for at least 3 months,
clinically diagnosed
stable to complete the interview
give informed consent
Introduction
•Stroke remains public health issues worldwide.
•Its impact can be devastating leaving the
survivors with residual disability.
•Post-stroke disability portend a social and
economic burden.
•Estimating the degree of disability among stroke
survivors:
provide the magnitude of the problem
help focus more on rehabilitation to reduce the
burden.
Methods
•Structured questionnaire to collect socio-demographic
data.
•WHODAS 2.0 (Short form)to assess disability.
•Clinical information obtained from medical record of
survivors.
•Descriptive & inferential statistics were used.
•Beta regression was used to examine the predicting
factors.
Results
•The degree of disability was 43.6 (table 1)
suggest moderate disability based on ICF.
•The degree of disability increases with age.
•Those who engage in any work after stroke
have less disability.
•Decrease disability with increase in length of
duration since stroke (table 2).
•The right hand dominant stroke survivors have
greater disability compared with left hand.
•Survivors with comorbid diabetes have greater
disability than those who are not.
•Reverse is the case for comorbid hypertension.
•No gender difference in pattern of disability.
•Age predicted disability.
•Increase in unit of age lead to 2% increase in
disability.
Table 1: Pattern of post stroke disability by socio-
demographic factor
**p-values are for F-test, *p-values are for Z-test, other
p-values are for t-test
Table 2: Pattern of post stroke disability by clinical factor
*p values are for Z- test statistics, others are t – test
Discussion
•This study suggests moderate disability (43.6) among
Nigerian stroke survivors.
•Though, most items show high prevalence.
•Nigerian stroke survivors have less disability
compared with Taiwanese (60.2)
•Differences could be in the type of WHODAS used.
•We used short form while the other used long form.
•Or better still the Taiwanese have more co-
morbidities than Nigerian survivors.
•No gender difference in disability agrees with New
Zealanders survivors.
•Age predicted disability among survivors.
•This is likely so as ageing process restricts
participation.
Purpose
To determine the prevalence of post-stroke
disability and its predictors among Nigerian
stroke survivors.
Contact details: oyewoleye@yahoo.co.uk
Results
•112 stroke survivors (men=57) with mean age of
62.6±11.4 (range, 32-88) years participated.
•Median duration since stroke is 18 (range, 3-
264)months.
•Prevalence of post stroke disability (figure 1):
 higher in 9 items (60.7% - 89.3%).
moderate in 3 items (44.6% – 52.7%).
•When adjusted for sex, the prevalence of post
stroke disability followed the same pattern.
•significant gender difference in prevalence of an
item (difficulty in joining community activities).