Amit Sreen1 , Prafull Sharma2 , Vivek Guleria3 , Niket Verma4
BACKGROUND Indians are at a higher risk of stroke-related death than Caucasians. There is insufficient information regarding proportion of ischemic and haemorrhagic strokes and associated mortality from India. METHODS Stroke patients with haemorrhagic and ischemic strokes were compared with regard to stroke severity, and mortality at 4 weeks in a tertiary care centre in India. RESULTS Out of 323 enrolled patients, 77.4% had ischemic strokes and 22.6 had intracranial bleed. Only 1.85% of patients could reach hospital within 4.5 hours. According to NIHSS 64.08% patients had mild to moderate stroke, and 35.9% had severe stroke. Mortality was 17.8% in ICH patients and 8.4% in ischemic stroke patients. The most common cause of mortality was infection (70.58%). CONCLUSIONS The proportion of strokes is higher in Indian population. Mortality is higher in haemorrhagic stroke patients. Therefore, they need to be monitored more aggressively. Infection needs to be controlled at all levels with stringent measures, since it is a leading cause of mortality.
