Stroke epidemiology and in-hospital mortality in a Mexico City hospital: a prospective two-years study

Objective: To describe patient characteristics, case fatality rate, and assess predictors of in-hospital acute ischemic (IS) or hemorrhagic stroke (HS) mortality.Method: Adult patients with confirmed stroke were recruited from January 1st, 2018 to December 31st, 2019.Data collect included: demographic and laboratory characteristics, risk factors, and clinical outcome.A binary logistic regression model with relative risk and 95% confidence interval was performed.Results: A total of 172 patients were recruited; IS was present in 78.5% of patients.The mean of age was 75.27 ± 11.44 years in IS group and 71.62 ± 11.72 years in HS group.Hypertension was present in > 70% of patients in both groups; the in-hospital case fatality rate was 15.5% for IS and 21.5% for HS.Severe NIHSS score (> 13) was significantly associated with in-hospital mortality in both stroke types.Conclusions: Hypertension was the most common risk factor in patients with stroke.The in-hospital case fatality rate was lower to previously reported in Mexico.Nevertheless, it remains high compared to reported in developed countries.NIHSS scale was the strongest predictor of mortality.There is a need to develop more effective stroke management services in Mexico.