Ischemic Stroke Profile, Risk Factors, and Outcomes in India

Abstract

These comprehensive and novel clinical imaging data will prove useful in refining stroke guidelines and advancing stroke care in India.

The SARS‐CoV‐2/COVID‐19 pandemic and challenges in stroke care in India

“…India lacks emergency medical services; studies have shown that from 1.5% to less than 10% of patients reach hospitals by ambulance. 10,11 The onset-to-door and treatment time is longer that before COVID-19 12 and it is likely to increase further, as observed in many severely affected countries, thereby compromising acute care. 9 Stroke patients from remote areas of the country are at greater risk of not reaching hospitals because of the suspension of public transport.…”

“…India has a higher burden of rheumatic heart diseases compared with developed countries; afflicted patients require vitamin K antagonists for anticoagulation and secondary stroke prevention. 10,21 Hence, the proportion of anticoagulated patients using warfarin, acenocoumarol, or related drugs is likely to be comparable to those using nonvitamin K-antagonist or -anticoagulation. 10,21 Patients generally have poor knowledge of the optimal use of anticoagulation and monitoring, which is likely to worsen further with decreased interaction with physicians.…”

“…10,21 Hence, the proportion of anticoagulated patients using warfarin, acenocoumarol, or related drugs is likely to be comparable to those using nonvitamin K-antagonist or -anticoagulation. 10,21 Patients generally have poor knowledge of the optimal use of anticoagulation and monitoring, which is likely to worsen further with decreased interaction with physicians. 22 With both laboratory and hospital access hampered, adverse events related to both poor physical therapy maintenance and suboptimal vascular risk-factor control are likely to surface.…”

A Cross Sectional Clinical Analysis of Hemiplegia (Pakkavatham) Related to Diabetes Mellitus (Mathumeham) and Hypertension (Erathakothippu)

“…The Global Burden of Diseases study revealed nearly 5.87 million people were affected in stroke related deaths occurred in 2010 [6,4]. It was compared with 1990 statement (4.66 million) was increased by 1.2 million people were affected by stroke [7,8]. The past two decades 26% increased in stroke related deaths.…”

“…The past two decades 26% increased in stroke related deaths. The mortality of stroke is occurred 20 -30% in the 1 st month and 60% of survivors are dependent [9,8].…”