Objective: To assess the serum lipid level in adults with hemorrhagic versus ischemic stroke and determine the associated factors. Methodology: A Comparative cross-sectional study was conducted at the Department of General Medicine, Combined Military Hospital Muzaffarabad, Azad Kashmir from 30-3-2020 to 30-9-2020. Out of 100 patients were enrolled and divided into two different groups. 3ml of blood was drawn and sent for fasting lipid profile to the single institutional laboratory. The blood samples were analyzed enzymatically using an autoanalyzer. All the obtained information was analyzed using SPSS. Results: In ischemic stroke patients, the mean TC was 227.20±16.47 mg/dl; among hemorrhagic stroke patients, mean total cholesterol levels were 203.5 ±16.8 with the value of P=<0.001. The Total mean HDL was found 36.10±4.29 with a value of p=<0.001. In ischemic stroke patients, the mean LDL was 145.18±16.98; in hemorrhagic stroke patients, the mean LDL was 131.96±12.12 (p-value=<0.001). In ischemic stroke patients, the mean TG was 203.18±57.74 mg/dl while in hemorrhagic stroke patients, the mean TG was 164.67±53.25 with a value of p=0.001) Conclusion: This study concluded that the mean TC, HDL, LDL, and TG of the patients was 215±20.42 mg/dl, 37.77±4.47 mg/dl, t 138.57±16.11 mg/dl, and 183.93±58.55 mg/dl respectively. This study further concluded that is substantial correlation exists between the serum lipid profile of adults and the type of stroke
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