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Outcomes of Patients with Heart Failure followed in a Cardiological Setting to Parakou from 2016 to 2020

World Journal of Cardiovascular Diseases 2022年第11期12卷 490-506页

作者： Codjo Houétondji Léopold Dohou Serge Hugues Mahougnon Biaou Chabi Olaniran Alphonse S.T.G. Mawuton Bokossa Covalic Melic amegan hamondji nicolas Houenassi Martin Dèdonougbo Cardiology Teaching and Research Unit Health Sciences Faculty University of Abomey-Calavi Cotonou Benin Cardiology Teaching and Research Unit Faculty of Medicine University of Parakou Parakou Benin Regional Institute of Public Health University of Abomey-Calavi Ouidah Benin Doctoral School of Health Sciences Health Sciences Faculty University of Abomey-Calavi Cotonou Benin

Introduction: Heart failure (HF) is a serious pathology whose evolution is made of episodes of acute decompensation, rhythmic and thromboembolic complications, causes of iterative hospitalizations and death. The objective of this study was to describe the outcomes of patients followed for heart failure in a cardiological setting in Parakou from 2016 to 2020. Methods: This was a longitudinal, descriptive and analytical retrospective study of heart failure patients followed in consultation and/or hospitalization over a period of 5 years (October 2016 to July 2020) in cardiology units of Parakou. The outcome of HF was assessed by the NYHA symptomatic stage, rehospitalization, complications and death. Epidata 3.1 fr and SPSS 21 software were used for data processing and analysis. Results: Of the 4902 cardiovascular admissions, 453 cases of HF (9.24%) were observed. At the onset of care, 51.50% of patients were at NYHA stage IV and 69.46% had left ventricular systolic dysfunction. During the follow-up period, there was a symptomatic improvement in the first 06 months but at one year of follow-up, 45.28% of the subjects were seen with a deteriorated stage. At one year of follow-up, the rehospitalization rate was 23.58%. The complications noted were arrhythmias in 8.32% of cases. The mortality rate was 30.37%. Advanced age > 60 years, Charlson score ≥ 3, hypokalemia and poor adherence to treatment were the factors associated with unfavorable outcomes. Conclusion: HF is associated with significant morbidity and mortality. This highlights the importance of its prevention, its better etiological research and patient’s therapeutic education.

关键词： Heart Failure Outcomes Mortality Associated Factors Parakou

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Factors Associated with Acute Respiratory Infections in Children Aged 0 - 5 Years in the Yénawa District of Cotonou (Benin) in 2023

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Open Journal of Epidemiology 2024年第2期14卷 331-342页

作者： Virginie Mongbo Luc Béhanzin Lamidhi Salami nicolas hamondji amegan Edgard-Marius Ouendo Department of Policies and Health Systems Regional Institute of Public Health of Ouidah University of Abomey-Calavi Abomey-Calavi Benin School of public Health University of Parakou Parakou Benin Doctoral school of Health Sciences University of Abomey-Calavi Abomey-Calavi Benin Public Health School University of Montreal Quebec Canada

Introduction: Acute respiratory infections remain one of the main causes of mortality in children aged 0 to 5. This work aimed to study the associated factors with the occurrence of acute respiratory infections in children 0 to 5 years old in Yénawa, Cotonou in 2023. Subjects and Method: It was an analytical cross-sectional study of children aged 0 - 5 years and their mothers in Yénawa, selected by four-degree random sampling. The sampling size, calculated using the Schwartz formula, was 126 children and 126 mothers. The dependent variable was the occurrence of acute respiratory infections. The independent variables were classified into four groups: socio-demographic and economic characteristics, behavioral factors, child-related factors, and environmental factors. Data collected by observation and questionnaire survey were analyzed using STATA version 15 software. Associated factors were investigated by bivariate analysis and multiple logistic regression, at the 5% significance level. Results: A total of 126 children aged 0 - 5 years and 126 mothers were surveyed, aged 23.5 (11 - 36) months and 30 (18 - 48) years respectively. The prevalence of acute respiratory infections was 74.60% (CI95% = 66.89 to 82.30). The associated factors were the mother’s age between 18 and 28 (OR = 10.77;CI95% = 1.89 to 61.27;p = 0.007), the use of charcoal/wood for cooking (OR = 7.36;IC = 1.99 to 27.10;p = 0.003)), children's poor personal hygiene (OR = 8.87;IC = 2.92 to 26.97;p 0.001)), and cohabitation with domestic animals (OR = 7.27;IC = 1.67 to 31.71;p = 0.015). Conclusion: Communicating with mothers about the factors identified will help reduce the prevalence of acute respiratory infections in children aged 0 to 5.

关键词： Acute Respiratory Infections Children Aged 0 - 5 Associated Factors Yénawa Benin

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Long-Term Mortality of Children with Congenital Heart Disease Admitted to the Departmental University Hospital of Borgou/Alibori from 2011 to 2022

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World Journal of Cardiovascular Diseases 2024年第3期14卷 166-186页

作者： Serge Hugues Mahougnon Dohou nicolas hamondji amegan Ahmad Ibrahim Gérard Médétinmè Kpanidja Chabi Olaniran Alphonse Biaou Houétondji Léopold Codjo Cardiology Teaching and Research Unit (CHUD-B/A) Faculty of Medicine University of Parakou Parakou Benin É cole de Sant&#233 Publique de l&#8217Universit&#233 de Montr&#233al (ESPUM) Montr&#233al Qu&#233bec Canada Paediatrics and Medical Genetics Teaching and Research Unit (CHUD-B/A) Faculty of Medicine University of Parakou Parakou Benin Regional Institute of Public Health University of Abomey-Calavi Cotonou Benin Cardiology Department Faculty of Health Sciences University of Abomey-Calavi Cotonou Benin

Background: Congenital heart disease is a public health issue due to its incidence and mortality rate. The aim of this study was to investigate the long-term mortality of children with congenital heart disease admitted to the Departmental University Hospital of Borgou/Alibori (CHUD-B/A) from 2011 to 2022. Methods: This descriptive longitudinal study with analytical aims covered 11 years (April 1, 2011 to December 31, 2022). It consisted of a review of the records of children under 15 years of age with echocardiographically confirmed congenital heart disease. This was followed by an interview with the parents to assess the children’s current condition. Data were entered using Kobocollect software and analyzed using R Studio 4.2.2. software. Results: A total of 143 complete files were retained. The median age at diagnosis was 14 months (IIQ: Q1 = 4;Q3 = 60) with a range of 2 days and 175 months, and the sex-ratio (M/F) was 0.96. Left-to-right shunts were the most frequent cardiopathy group (62.9%). Only 35 children (24.5%) benefited from restorative treatment. The mortality rate was 31.5%. Median survival under the maximum bias assumption was 114 months and 216 months under the assumption of minimum bias. Survival was significantly better in children with right-to-left shunts (p = 0.0049) under the assumption of minimum bias. The death risk factors were: age at diagnosis less than 12 months (aHR = 7.58;95% CI = 3.36 - 17.24;p Conclusion: The long-term mortality of congenital heart disease is high and favoured by the absence of restorative treatment. Local correction of congenital heart disease and medical follow-up will help to reduce this mortality.

关键词： Congenital Heart Disease Long-Term Mortality Parakou Risk Factors

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Women Breast Cancer: Knowledge, Attitudes, Practices and Factors Associated with Early Screening in the Municipality of Abomey-Calavi in Benin in 2018

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Open Journal of Epidemiology 2024年第1期14卷 131-156页

作者： Stéphane Arold Bidossessi Senahoun nicolas hamondji amegan Mahougnon Hugues Serge Dohou Hermann Comlanvi Agbedjinou Lucresse Corine Fassinou Tècle Edwige Korogone Armand Ibikounle Dieudonné Fambo Joël Gamêlé Mikponhoué Christiane Tshabu Aguemon Ecole Doctorale des Sciences de la Santé Université d’Abomey-Calavi Cotonou Bénin Ecole de Santé Publique de l’Université de Montréal Québec Canada Unité de Formation et de Recherche en Médecine Cardiovasculaire Faculté de Médecine de l’Université de Parakou Parakou Bénin Ecole de Santé Publique Université Libre de Bruxelles Bruxelles Belgique Ecole Nationale des Techniciens Supérieurs en Santé Publique et en Surveillance Epidémiologique Université de Parakou Parakou Bénin Faculté des Sciences de la Santé Université d’Abomey-Calavi Cotonou Bénin

Background: Breast cancer is the dominant cancer in women in both developed and developing countries. The objective of this study was to assess the knowledge, attitudes, practices and factors associated with early breast cancer screening among women in the Municipality of Abomey-Calavi in Benin. Methods: This was a cross-sectional, descriptive, analytical study with prospective data collection from October 1 to 8, 2018, involving 1740 women in the Municipality of Abomey-Calavi, aged 18 years or older and selected by WHO four-stage random cluster sampling. Consenting women who were mentally competent, 18 years of age or older at the time of the survey, and residing continuously in the Municipality of Abomey-Calavi for the last six months prior to the survey were included. On the other hand, women who belonged to a breast cancer prevention service, women in whom secondary screening was noted, or non-consenting women were not included. The initial minimum size was estimated by the Schwartz formula with a cluster effect of k = 2. Information was collected by questionnaire survey, entered with Epidata 3.1. Fr and analyzed with R Studio 3.5.1. software. Results: The mean age of the women surveyed was 32.0 ± 11.5 years with a range of 18 and 71 years. Regarding knowledge, the clinical manifestation known by the majority of women was the presence of a nodule (68.50%). In the series, 1308 (75.17%) declared having heard about breast cancer once before, either on the radio, television or from friends and 726 (55.50%) had heard about breast cancer screening. Five hundred and twelve (70.52%) of the 726 who had heard of breast cancer said they knew that breast cancer could be screened earlier. Breast self-examination was the most cited screening method (67.58%). The disease is of natural origin according to 37.84% of them. Regarding attitudes and practices, the prevalence of early breast cancer screening was 12.93%, of which 11.67% declared that they had checked themselves to kno

关键词： Breast Cancer Early Screening Knowledge Practices Attitudes Associated Factors

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Complications of Peripartum Cardiomyopathy at the Departmental University Hospital Teaching of Borgou (Benin) in 2022: About 3 Cases

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World Journal of Cardiovascular Diseases 2022年第11期12卷 514-526页

作者： Léopold Houétondji Codjo Serge Hugues Mahougnon Dohou Sèdjro Raoul Atade Fabrice Atika hamondji nicolas amegan Chabi Olaniran Alphonse Biaou Kayivi Murielle Hounkponou Djidjoho Arnaud Sonou Mahouna Philippe Adjagba Marielle Dorine Soude Dominique Sacca Mèdéssè Rolande Quenum Aude Sourou Bodjrenou Martin Dèdonougbo Houenassi Cardiology Teaching and Research Unit (CNHU-HKM) Faculty of Health Sciences University of Abomey Calavi Cotonou Benin Teaching and Research Unit in Cardiology (CHUD-B/A) Faculty of Medicine University of Parakou Parakou Benin Teaching and Research Department of Gynecology and Obstetric (CHUD-B/A) Faculty of Medicine University of Parakou Parakou Benin Doctoral School of Health Sciences University of Abomey Calavi Cotonou Benin Regional Institute of Public Health University of Abomey Calavi Cotonou Benin Cardiology Teaching and 6 Research Unit (CHU-MEL) Faculty of Health Sciences University of Abomey Calavi Cotonou Benin Cardiology Department of Atacora-Donga Department Hospital Center (CHD-A/D) Natitingou Benin Teaching and Research Unit in Cardiology Faculty of Medicine (CHU-OP) University of Abomey Calavi Cotonou Benin

Introduction: Peripartum cardiomyopathy (PPCM) is a dilated cardiomyopathy occurring in the last month of pregnancy or the first five months postpartum without pre-existing cardiovascular pathology. It is a major cause of pregnancy-related heart failure with high morbidity and mortality. In severe forms (10% to 15% of cases), thrombo-embolic complications are the main cause. The initial hemodynamic evolution is totally unpredictable and sometimes extremely brutal and fatal. The objective of this work was to show the often pejorative evolution of PPCM in our country. Methods: We report in this work three serious clinical cases revealing the complications of this PPCM among patients admitted to the cardiology department of the CHUD-B/A in 2022 for heart failure. The data were collected according to the Declaration of Helsinki. Patients and Observations: The first case was a PPCM with severe left ventricular (LV) systolic dysfunction complicated by spontaneous left intraventricular contrast and right superficial sylvian ischemic stroke. The second case reports a global cardiac decompensation of a PPCM with severe LV systolic dysfunction complicated by an apical thrombus. The third case is that of a state of cardiogenic shock complicating a PPCM with severe LV systolic dysfunction. Among our 03 patients presenting these severe forms of PPCM, the evolution, in spite of the symptomatic and prognostic treatments of the heart failure, and even of the complications, was unfavourable with death in two of them. Conclusion: Complications of PPCM are frequent and fatal in Benin.

关键词： Cardiomyopathy Peripartum Complications Parakou Benin

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