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Abstract Details

Developing an Inpatient Neurology Registry To Understand Neurological Disease Burden in Zambia
Global Health and Neuroepidemiology
P2 - Poster Session 2 (5:30 PM-6:30 PM)
7-037

Develop an inpatient neurology registry to prospectively capture accurate neuroepidemiological data that will improve the emerging neurological care in Zambia.

Zambia is a low-income country of 16 million people with only 4 neurologists.  The first inpatient neurology service in Zambia was started at the University Teaching Hospital (UTH) in Lusaka in May 2018, and the first post-graduate neurology training program in Zambia began in October 2018.  The advent of specialist neurological care in Zambia provides a unique opportunity to begin to understand the epidemiology of neurologic disease in this resource-limited sub-Saharan African country with a high HIV and tuberculosis burden.

A standardized data collection instrument was used to prospectively collect pertinent patient demographic, clinical, laboratory and imaging results as well as in-hospital mortality for consecutive patients admitted to the inpatient neurology service at UTH beginning in October 2018.

During the first three weeks of data collection, 58 patients were admitted to the inpatient neurology service with an average age of 53 (SD 17) and 32 (55%) were females. Ischemic and hemorrhagic stroke together accounted for 55% (n=32) of all admissions while epilepsy accounted for 24% (n=14). The remaining 21% was shared between headaches (n=2), myelopathies (n=3), neurological infections (n=2), demyelinating disorders (n=3), and alcohol related neurological complications (n=2). Of the 14 patients discharged to date, 29% (n=4) died during their hospitalization. By the AAN conference, we anticipate having data from ~500 patients.

Low-income countries shoulder a disproportionate burden of neurological diseases but have the fewest neurological healthcare resources available. The neuroepidemiological data from this inpatient registry can be used to increase our understanding of the neurological disease burden in Zambia, provide targeted education for healthcare workers, and develop standardized treatment protocols for the most common neurological disorders in Zambia.
Authors/Disclosures
Aparna Nutakki, MD
PRESENTER 		Ms. Nutakki has received research support from UJMT Fogarty Global Health Fellowship Program. Ms. Nutakki has received research support from AAN Medical Student Research Scholarship. Ms. Nutakki has received research support from Gold Humanism Student Summer Fellowship.
Lorraine Chishimba, MBChB, MMED (University Teaching Hospital) Dr. Chishimba has nothing to disclose.
Mashina Chomba, MBChB (University of Zambia) Dr. Chomba has nothing to disclose.
Stanley Zimba, MBBS (University Teaching Hospital) Dr. Zimba has nothing to disclose.
Deanna Saylor, MD, MHS (Johns Hopkins Hospital) Dr. Saylor has received personal compensation in the range of $500-$4,999 for serving as an Editor, Associate Editor, or Editorial Advisory Board Member for 好色先生. The institution of Dr. Saylor has received research support from National Institutes of Health. The institution of Dr. Saylor has received research support from 好色先生. Dr. Saylor has a non-compensated relationship as a Member of multiple committees and task forces focused on improving access to MS medications to people across the world with Multiple Sclerosis International Federation that is relevant to AAN interests or activities. Dr. Saylor has a non-compensated relationship as a Member of the Neurology and COVID19 committee with World Health Organization that is relevant to AAN interests or activities. Dr. Saylor has a non-compensated relationship as a Member of the International Outreach Committee, Junior and Early Career Membership Committee, and 好色先生al Innovation Commitees with American Neurological Association that is relevant to AAN interests or activities.