ArticleThe Lancet regional health. Southeast Asia2024
Stroke incidence, mortality, subtypes in rural and urban populations in five geographic areas of India (2018-2019): results from the National Stroke Registry Programme.
Article in The Lancet regional health. Southeast Asia, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Comparison of primary and secondary stroke outcomes between government and private healthcare institutions: insights from the SPRINT India trial.Frontiers in stroke · 2026Trial
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- Changing patterns of stroke multimorbidity in India: A longitudinal analysis of WHO-SAGE data (2007-2020).The Indian journal of medical research · 2026Article
- Stroke patterns, risk factors, management, and outcomes from hospital-based stroke registries in India.International journal of stroke : official journal of the International Stroke Society · 2026Article
- An upper limb stroke rehabilitation exercise video dataset.Data in brief · 2026Article
- Observational
- Technology-based teaching to support health students' clinical skills in stroke recovery: a scoping review.BMC medical education · 2026Article
- Article
- Determinants of the time period from stroke onset to arrival at the emergency department: a GIS integrated hospital-based cross-sectional study.Scientific reports · 2025Article
- In situ structural-functional synchronous dissection of dynamic neuromuscular system via an integrated multimodal wearable patch.Science advances · 2025Article
- Natural polymer derivative-based pH-responsive nanoformulations with entrapped diketo-tautomers of 5-fluorouracil for enhanced cancer therapy.ADMET & DMPK · 2025Article
- Association of the Triglyceride Glucose Index With Outcomes in Acute Ischemic Stroke Injury.Cureus · 2024Article
- Analyzing stroke burden and risk factors in India using data from the Global Burden of Disease Study.Scientific reports · 2024Article
- Article
- Endovascular Therapy in Large Core Ischemic Strokes: Real-World Indian Experience.Annals of Indian Academy of Neurology · 2024Article
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Abstract
Background: Increasing stroke burden in India demands a long-term stroke surveillance framework. Earlier studies in India were urban-based, short term and provided limited data on stroke incidence and its outcomes. This gap is addressed by the establishment of five population-based stroke registries (PBSRs) of the National Stroke Registry Programme, India. This paper describes stroke incidence, mortality and age, sex, and subtypes distribution in the five PBSRs with urban and rural populations. Methods: First-ever incident stroke patients in age group ≥18 years, resident for at least one year in the defined geographic area, identified from health facilities were registered. Death records with stroke as the cause of death from the Civil Registration System (CRS) were included. Transient ischemic attack (TIA) was excluded. Three PBSRs (Cuttack, Tirunelveli, Cachar) included urban and rural populations. PBSRs in Kota and Varanasi were urban areas. The crude and age-standardized incidence rate (ASR) by age, sex, and residence (urban and rural), rate ratios of ASR, case fatality proportions and rates at day 28 after onset of stroke were calculated for years 2018-2019. Findings: A total of 13,820 registered first-ever stroke cases that included 985 death certificate-only cases (DCOs) were analysed. The pooled crude incidence rate was 138.1 per 100,000 population with an age-standardized incidence rate (ASR) of 103.4 (both sexes), 125.7 (males) and 80.8 (females). The risk of stroke among rural residents was one in seven (Cuttack), one in nine (Tirunelveli), and one in 15 (Cachar). Ischemic stroke was the most common type in all PBSRs. Age-standardized case fatality rates (ASCFR) per 100,000 population for pooled PBSRs was 30.0 (males) and 18.8 (females), and the rate ratio (M/F) ranged from 1.2 (Cuttack) to 2.0 (Cachar). Interpretation: Population-based registries have provided a comprehensive stroke surveillance platform to measure stroke burden and outcomes by age, sex, residence and subtype across India. The rural-urban pattern of stroke incidence and mortality shall guide health policy and programme planning to strengthen stroke prevention and treatment measures in India. Funding: The National Stroke Registry Programme is funded through the intramural funding of the Indian Council of Medical Research, Department of Health Research, Ministry of Health and Family Welfare, India.
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