Background Stroke remains one of the leading causes of morbidity and mortality worldwide, with a significant burden on healthcare systems. Timely hospitalization and effective treatment are essential for improving outcomes. In Kazakhstan, regional disparities in stroke care remain underexplored. Objective This study aims to analyze the demographic characteristics, hospitalization pathways, and treatment outcomes of patients with acute cerebrovascular accidents (ACVAs, ICD‐10 codes I60–I64) in multidisciplinary hospitals across Astana, Almaty, and the Akmola region from 2020 to 2024. Methods A retrospective observational study was conducted using data from the Electronic Register of Dispensary Patients (IS ERDB). Patient data were evaluated by sex, age, admission source, type of hospitalization, and treatment outcomes. Descriptive statistics were applied, and the significance of differences across years and regions was assessed using Pearson’s chi‐square and Student’s t ‐tests ( p < 0.05 was considered statistically significant). Results Across the three regions, the majority of stroke patients were males (51.8%–58.8%) and aged 56 years and older. Emergency medical services (EMSs) were the primary admission route (above 80% in all regions), while planned admissions remained below 5%. Statistically significant improvements in treatment outcomes were observed in Astana, with recovery rates increasing from 0.17% to 0.70% and mortality decreasing from 13.2% to 8.65% ( p < 0.001). In Almaty, self‐referrals increased significantly, while in Akmola, reliance on primary care and self‐referrals was higher than in major cities. Positive trends were observed in mortality reduction and clinical improvement in all regions, although full recovery remained rare. Conclusions The study reveals stable demographic patterns and consistent reliance on emergency services for stroke care in Kazakhstan. The improvement in clinical outcomes, especially in Astana, indicates progress in care quality. However, the low rates of full recovery highlight the need for enhanced rehabilitation services and stronger integration of primary care in early stroke detection and management.
Adenova et al. (Thu,) studied this question.