Abstract Background and aims Stroke is a leading cause of mortality and morbidity worldwide, but epidemiological data from India is limited. This study aims to study the clinico-epidemiological profile of stroke in a tertiary institute of North India. Methods All stroke patients admitted to neurology between January 2023 and March 2025 were included. The demographic profile, risk factors, clinical features, type/extent of stroke and outcome were noted. Outcome was assessed with modified Rankins score (mRS) at discharge, with mRS 4-6 poor outcome. Predictors of poor outcome were calculated. Statistical analysis was carried out using SPSS software. Results The study included 346 patients, aged 3-97 years (55.88±16.91) with 218 (63%) males. Ischemic stroke was most common(58.1%) followed by hemorrhagic stroke (37.5) and venous stroke (4.4%). Nearly 63 (18.2%) patients had recurrent stroke. GCS score at admission was 12.47±3.22 (3-15). Ischemic stroke was most commonly due to atherosclerosis (65.8%),and 17.1% were cardioembolic, 6% tuberculous meningitis-related, 5% secondary to vasculitis and 3.5% cryptogenic. The most common sites of hemorrhagic stroke were putamen (45.3%), followed by thalamus (24.2%), lobar(14.1%), cerebellum (6.3%), brainstem (6.3%), caudate (3.1%) and primary intraventricular(0.8%). Nearly 70% had hypertension, 34.6% diabetes and 6.4% rheumatic heart disease. 23 patients had atrial fibrillation. 32(9.2%) patients died, while 31% had good outcome (mRS 0-3). GCS9, male sex, age60 years, high leucocyte counts, high HbA1c and comorbidities were predictors of poor outcome. Poor GCS, older age and comorbidities were independent predictors of poor outcome. Conclusions Nearly 37% patients had hemorrhagic stroke, and overall mortality was 9.2%. Conflict of interest "Vinita Elizabeth Mani: nothing to disclose" "Ankita Mishra: nothing to disclose" "Akshat Kumar Srivastava: nothing to disclose" "Pooja Chaurasia: nothing to disclose" Figure 1 - belongs to Results
Mani et al. (Fri,) studied this question.