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Epidemiological Study of Stroke Cases Presenting to the Emergency Department of a Tertiary Hospital: An Observational Study

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creativeworkseries.issnJNMA Print ISSN: 0028-2715; Online ISSN: 1815-672X
dc.contributor.authorRajbhandari, Bibek
dc.contributor.authorMan Shakya, Yogendra
dc.contributor.authorMaharjan, Ramesh Kumar
dc.contributor.authorShakya, Yagya Laxmi
dc.contributor.authorAryal, Shiva Sharma
dc.contributor.authorBhandari, Pratiksha
dc.contributor.authorShilpakar, Olita
dc.contributor.authorNeupane, Ram Prasad
dc.contributor.authorNakarmi, Rajan Narayan
dc.contributor.authorShrestha, Cimona
dc.date.accessioned2025-05-23T09:07:09Z
dc.date.available2025-05-23T09:07:09Z
dc.date.issued2025
dc.description.abstractIntroduction: Stroke remains a major global health burden, ranking as the second leading cause of death and third leading cause of disability worldwide. Low- and middle-income countries, including Nepal, face a disproportionate share of this burden, characterized by delayed treatment and limited healthcare infrastructure. This study aimed to determine the epidemiological profile of stroke cases presenting to the emergency department of a tertiary hospital in Nepal. Methods: A cross-sectional study was conducted using medical records of stroke patients presenting to the General Practice and Emergency Department from August 2022 to September 2023. Data on demographics, stroke type, clinical outcomes, and management were collected and analyzed descriptively using STATA version 17. Results: Of 39,702 emergency department visits, 1,174 (2.96%) were stroke cases. Ischemic stroke occurred in 896 (76.34%) patients, hemorrhagic stroke in 175 (14.89%), and transient ischemic attack in 103 (8.82%). The mean age was 61.79 ± 15.76 years, and 704 (60.00%) patients were male. Admission to the general ward occurred in 1,011 (86.10%) patients, and 43 (3.65%) patients were admitted to the ICU. Thrombolysis was administered to 22 (1.87%) patients, and 11 (0.93%) were referred for thrombectomy. A total of 151 (12.90%) patients arrived within 4.5 hours of symptom onset. Conclusions: The study highlights the predominance of ischemic stroke, delayed hospital presentations, and limited use of thrombolysis among stroke patients in a high-volume ED in Nepal.
dc.identifierhttps://doi.org/10.31729/jnma.9023
dc.identifier.urihttps://hdl.handle.net/20.500.14572/27
dc.language.isoen_US
dc.publisherNepal Medical Association
dc.titleEpidemiological Study of Stroke Cases Presenting to the Emergency Department of a Tertiary Hospital: An Observational Study
dc.typeArticle
dspace.entity.typePublication
local.article.typeOriginal Article
oaire.citation.conferenceDate2025
oaire.citation.endPage302
oaire.citation.issue285
oaire.citation.startPage298
oaire.citation.titleEpidemiological Study of Stroke Cases Presenting to the Emergency Department of a Tertiary Hospital: An Observational Study
oaire.citation.volume63
relation.isJournalIssueOfPublication9dcc2490-a4b3-4a0d-acf5-6b26ec067b13
relation.isJournalIssueOfPublication.latestForDiscovery9dcc2490-a4b3-4a0d-acf5-6b26ec067b13
relation.isJournalOfPublicatione6e146a0-0ece-4aba-aa0a-6ccfbd10a12a

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