Abstract
Introduction : In a developing country like India, it is imperative to study the effects of age and gender on the incidence of stroke as it has important implications in making health policy decisions. Methods: We evaluated the incidence of stroke in patients over 15 years of age at Navi Mumbai, India during the period 2013-19 in Navi Mumbai, India. Outcomes studied were incidence of stroke stratified by age, sex, and stroke subtype. Results: Out of a total of 1377 patients, 1246 were ischemic and 131 haemorrhagic. The mean age was 49.06 years and 53% were males. Nearly half of the strokes occurred in 46-65 years group, and one-thirds in over 65 years of age. 21% bleeds and 16% of infarcts occurred under 45years of age. Younger females had lesser risk stroke as compared to males but females above 65years had a significantly greater risk of infarct (P value 65 years of age) were more prone to ischemic stroke than elderly males. Intracerebral haemorrhage occurred significantly more often in men than women under the age of 45years. These findings have important implications for public health policy and sociocultural changes.
Highlights
In a developing country like India, it is imperative to study the effects of age and gender on the incidence of stroke as it has important implications in making health policy decisions
Age wise distribution of stroke was analysed. 50% of infarcts occurred between the ages of 46 to 65 years, 34% above the age of 65 years
Incidence of stroke increases with increasing age, but in our urban population it peaked in the highly productive age group of 46-65 years
Summary
In a developing country like India, it is imperative to study the effects of age and gender on the incidence of stroke as it has important implications in making health policy decisions. 70% of strokes and 87% of both stroke-related deaths and disability-adjusted life years occur in low- and middleincome countries [3,4,5]. Over the last four decades, the stroke incidence in low- and middle-income countries has more than doubled During these decades stroke incidence has declined by 42% in high-income countries [3]. Stroke occurs 15 years earlier in – and causes more deaths of – people living in low- and middle-income countries, when compared to those in high-income countries [2]. We studied the incidence and patterns of stroke in patients attending our stroke clinic over a span of 6 years at Navi Mumbai, India
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