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The spectrum of neurological presentations in an outpatient clinic of rural Zimbabwe.

Abstract：

BACKGROUND:Previous studies to estimate burden of neurological disorders in Africa are limited to inpatients in urban hospitals. The spectrum of neurological conditions in rural Africa remains unclear. OBJECTIVE:To determine the spectrum of neurological presentations in an outpatient setting in rural Zimbabwe. METHODS:Clinical data was collected from outpatient records at Karanda Mission Hospital, a rural community hospital in Northern Zimbabwe from February 2013 to February 2014. Each patient visit was entered in an outpatient record book by a registered nurse or a nurse trainee. Demographic details such as age, sex, weight and address of the patient, and clinical details such as diagnosis on discharge and medications prescribed were recorded in the record book following assessment by a physician or nurse practitioner. Each visit corresponded to a separate entry in the study. RESULTS:We recorded a total of 19,206 visits in the outpatient registry. The average age was 46.41 years (standard deviation=21.46), and there were more visits from women (57.81%). 11.63% (2233) of all visits had a neurological diagnosis at discharge. The most common neurological diagnoses were epilepsy/seizures (24.38%), followed by neuropathies (13.63%), headaches (11.4%) and strokes (4.6%). CONCLUSIONS:One in ten cases in an outpatient setting in rural Zimbabwe were neurologically related. Further studies are required to determine the public health burden of neurological disorders in rural Africa. The development and funding of educational initiatives in resource-limited areas is needed to improve neurological diagnosis and care.

journal_name

J Neurol Sci

journal_title

Journal of the neurological sciences

authors

Vyas MV,Wong A,Yang JM,Thistle P,Lee L

doi

10.1016/j.jns.2016.01.065

subject

Has Abstract

pub_date

2016-03-15 00:00:00

pages

263-5

eissn

0022-510X

issn

1878-5883

pii

S0022-510X(16)30065-X

journal_volume

362

pub_type

杂志文章

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