| dc.description.abstract | A stroke, often referred to as a cerebral vascular accident, is a focused neurological
impairment with a fast start that is thought to have a vascular origin. It causes loss of
consciousness and/or death because it alters the blood flow to the brain. Stroke is
becoming more common, and stroke survivors are more at risk from long-term
consequences. Health and social care systems are in danger of being overburdened by
the weight of dependency brought on by this impairment, the possible loss of earning
power, the need for more social assistance, and extended hospital stays. The purpose of
the research was to evaluate factors related to the treatment results of stroke patients
who were admitted to certain medical institutions in Kenya's Kakamega County. A
cross-sectional research approach was used. Data was gathered between January 2021
and January 2022 after approval. From Kakamega County's level four and level five
hospitals, 153 patients with full medical records and a confirmed stroke diagnosis were
gathered. Fischer's formula was used to calculate the sample size. To find level four
and level five hospitals, the research used a cluster sampling approach. Using a
purposeful sampling strategy, stroke patients are chosen for admission. A self
administered questionnaire was used to gather information on demographics,
important medical histories, clinical presentations, stroke management, in-hospital
incidents, and treatment results at a few chosen medical institutions in Kakamega
County, Kenya. The Statistical Package for Social Sciences (SPSS) version 27.0 was
used to input, clean, verify, and analyze data before it was placed into a computer
database. It is anticipated that the data from this research will be used to create
guidelines for clinical treatment of stroke in order to improve the quality of care given
to stroke patients, improve their outcomes, and lessen the difficulties that come with
the condition. This research contained 153 patient instances that were unreadable. The
mean age of the patients was 57±13.7 years, and 111 (72.5%) of them were male. 112
(73.2%) of the 153 stroke patients had an ischemic stroke at presentation. The most
often prescribed medications for ischemic stroke patients were aspirin and statins
(78.6%), whereas enalapril was used to manage excessive blood pressure in around
43% of stroke patients. 36 (23.5%) of the 61 (40%) stroke patients who had poor
treatment results passed away in the hospital. Poor treatment outcomes were strongly
correlated with. Nearly half of the stroke patients had poor treatment results, and
overall, stroke patient care was subpar. Patient outcomes may be improved by using
thrombolytic treatment, developing suitable risk factor prevention strategies (such as
lowering blood pressure), and reducing avoidable complications such aspiration
pneumonia. | en_US |
