Evidence map›Paper›PMID 41766825›Full record

Observational studyJNMA; journal of the Nepal Medical Association2025

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

Bibek Rajbhandari, Yogendra Man Shakya, Ramesh Kumar Maharjan, Yagya Laxmi Shakya, Shiva Sharma Aryal, Pratiksha Bhandari, Ram Prasad Neupane, Olita Shilpakar, Rajan Narayan Nakarmi, Cimona Shrestha

Abstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in JNMA; journal of the Nepal Medical Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Bibek RajbhandariDepartment of General Practice, Maharajgung Medical Campus, Institute of Medicine, Maharjgunj, Kathmandu, Nepal.
Yogendra Man ShakyaDepartment of General Practice, Maharajgung Medical Campus, Institute of Medicine, Maharjgunj, Kathmandu, Nepal.
Ramesh Kumar MaharjanDepartment of Emergency Medicine, Maharajgung Medical Campus, Institute of Medicine, Kathmandu, Maharjgunj, Kathmandu, Nepal.
Yagya Laxmi ShakyaDepartment of General Practice, Maharajgung Medical Campus, Institute of Medicine, Maharjgunj, Kathmandu, Nepal.
Shiva Sharma AryalDepartment of Emergency Medicine, Maharajgung Medical Campus, Institute of Medicine, Kathmandu, Maharjgunj, Kathmandu, Nepal.
Pratiksha BhandariDepartment of Nursing, Patan Academy of Health Sciences, Lagankhel, Lalitpur, Nepal.
Ram Prasad NeupaneDepartment of General Practice, Maharajgung Medical Campus, Institute of Medicine, Maharjgunj, Kathmandu, Nepal.
Olita ShilpakarDepartment of Emergency Medicine, Maharajgung Medical Campus, Institute of Medicine, Kathmandu, Maharjgunj, Kathmandu, Nepal.
Rajan Narayan NakarmiDepartment of Emergency Medicine, Maharajgung Medical Campus, Institute of Medicine, Kathmandu, Maharjgunj, Kathmandu, Nepal.
Cimona ShresthaDepartment of Emergency Medicine, Maharajgung Medical Campus, Institute of Medicine, Kathmandu, Maharjgunj, Kathmandu, Nepal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: 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 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.

Indexed as

Emergency Service, HospitalIschemic StrokeStrokeAdultAgedAged, 80 and overCross-Sectional StudiesEmergency Room VisitsFemaleHumansIschemic Attack, TransientMaleMiddle AgedNepalTertiary Care CentersThrombolytic Therapyemergency departmentNepalstroke

Identifiers

PMID41766825
PMCPMC12831834

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.