From two prospective stroke studies during the period 1963-1968 and 1978-1982 at Bombay, using identical methodologies, it is observed that there is a significant drop in case fatality rate (32-12%) thereby resulting in a higher survival (68-88%) but with residual disability. Thus, these changing trends have posed a major social challenge in occupational rehabilitation and in solving the needs for stroke survivors, particularly in the younger age-groups.
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Dalal et al. (1989) studied this question.