{
  "abstract": "Background: Stroke remains a major cause of mortality and disability worldwide, with a disproportionate burden in low‐ and middle‐income countries. In Indonesia, multicenter epidemiological data from regions outside Java remain limited. This study describes the clinical and epidemiological characteristics of stroke in North Sumatra using a multicenter hospital‐based dataset.\n\nMethods: This multicenter cross‐sectional study analyzed medical record data of patients diagnosed with stroke between January and December 2024 across 25 hospitals in North Sumatra, Indonesia. Participating hospitals included public and private facilities with head computed tomography capability. Data included demographics, vascular risk factors, stroke subtype, clinical presentation, treatment patterns, complications, and in‐hospital outcomes. Descriptive analyses were performed using frequencies, percentages, means, and medians.\n\nResults: A total of 2862 patients were included. Mean age was 61.2 ± 11.4 years, with the largest proportion aged 55–64 years (35.3%); 52.5% were male. Ischemic stroke predominated (84.6%), whereas hemorrhagic stroke accounted for 15.4%. Hypertension was the most common risk factor (80.5%), followed by dyslipidemia (32.6%) and diabetes (29.8%). Hemiparesis was the most frequent presenting symptom (63.5%). Only 11.3% of patients arrived within 4.5 h of symptom onset, whereas 45.2% arrived more than 24 h after symptom onset; arrival time was undocumented or unclassified in 20.4% of patients.\n\nConclusion: Stroke in North Sumatra is strongly associated with modifiable vascular risk factors and delayed hospital presentation. Strengthening prevention, acute stroke care systems, and regional stroke surveillance is urgently needed.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Neurology Faculty of Medicine Universitas Sumatera Utara Medan Indonesia usu.ac.id",
    "Department of Neurology Adam Malik Hospital Medan Indonesia",
    "Department of Neurology Faculty of Medicine Universitas HKBP Nommensen Medan Indonesia",
    "Department of Neurology Murni Teguh Memorial Hospital Medan Indonesia",
    "Department of Neurology Latersia Hospital Binjai Indonesia",
    "Department of Neurology Inanta General Hospital Padangsidimpuan Indonesia",
    "Department of Neurology Dr. Tengku Mansyur Hospital Tanjungbalai Indonesia",
    "Department of Neurology Prof. Dr. M. Ildrem Hospital Medan Indonesia",
    "Department of Neurology Pirngadi General Hospital Medan Indonesia",
    "Department of Neurology Dolok Sanggul General Hospital Dolok Sanggul Indonesia",
    "Department of Neurology Panyabungan General Hospital Panyabungan Indonesia",
    "Department of Neurology Mitra Medika Amplas Hospital Medan Indonesia",
    "Department of Neurology Sultan Sulaiman General Hospital Sei Rampah Indonesia",
    "Department of Neurology Amri Tambunan Hospital Lubuk Pakam Indonesia",
    "Department of Neurology Hadrianus Sinaga General Hospital Pangururan Indonesia",
    "Indonesian Neurological Association Medan Chapter Medan North Sumatra Indonesia"
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 23,
  "authors": [
    {
      "affs": [
        0,
        1
      ],
      "name": "Fasihah Irfani Fitri",
      "orcid": "0000-0002-0883-3029"
    },
    {
      "affs": [
        0,
        1
      ],
      "name": "Alfansuri Kadri",
      "orcid": "0000-0002-7420-0588"
    },
    {
      "affs": [
        0,
        1
      ],
      "name": "Chairil Amin Batubara",
      "orcid": "0009-0001-2489-7807"
    },
    {
      "affs": [
        2,
        3
      ],
      "name": "Prima Heptayana Nainggolan",
      "orcid": "0009-0008-3191-5824"
    },
    {
      "affs": [
        4
      ],
      "name": "Oriza Novita",
      "orcid": "0009-0007-3022-9681"
    },
    {
      "affs": [
        5
      ],
      "name": "Etiya Ekayana",
      "orcid": "0009-0000-6249-0517"
    },
    {
      "affs": [
        1
      ],
      "name": "Muhammad Gandhi Sastrawan",
      "orcid": "0000-0002-3007-7987"
    },
    {
      "affs": [
        1
      ],
      "name": "Neni Nurchalida",
      "orcid": "0009-0009-8509-9188"
    },
    {
      "affs": [
        6
      ],
      "name": "Ika Mariana Gultom",
      "orcid": "0000-0003-3965-061X"
    },
    {
      "affs": [
        7
      ],
      "name": "Carina Shelia Puspitasari",
      "orcid": "0009-0001-8464-422X"
    },
    {
      "affs": [
        8
      ],
      "name": "Saulina Sembiring"
    },
    {
      "affs": [
        9
      ],
      "name": "Adi Putra",
      "orcid": "0009-0002-5599-6469"
    },
    {
      "affs": [
        10
      ],
      "name": "Petrus Nilwan Ginting",
      "orcid": "0009-0000-0942-7340"
    },
    {
      "affs": [
        0
      ],
      "name": "Irina Kemala Nasution",
      "orcid": "0000-0002-4979-5807"
    },
    {
      "affs": [
        11
      ],
      "name": "Annisa Ismira",
      "orcid": "0009-0003-3024-4604"
    },
    {
      "affs": [
        12
      ],
      "name": "Lisbeth Meilina Sitanggang",
      "orcid": "0009-0002-6074-1217"
    },
    {
      "affs": [
        13
      ],
      "name": "Meiriani Keliat",
      "orcid": "0009-0007-0398-4278"
    },
    {
      "affs": [
        14
      ],
      "name": "Minar Aritonang",
      "orcid": "0009-0003-5537-2514"
    },
    {
      "affs": [
        0
      ],
      "name": "Octaviasari Agatha Dachi",
      "orcid": "0009-0001-4274-7140"
    },
    {
      "affs": [
        0
      ],
      "name": "Erlina Theovani Damanik",
      "orcid": "0009-0006-2147-8435"
    },
    {
      "affs": [
        0
      ],
      "name": "Cut Aria Arina",
      "orcid": "0000-0002-3874-8482"
    },
    {
      "affs": [
        0
      ],
      "name": "Aldy Safruddin Rambe",
      "orcid": "0000-0002-7327-2328"
    },
    {
      "affs": [
        15
      ],
      "name": "Indonesian Neurological Association Medan Chapter, Medan, North Sumatra, Indonesia"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/8vn5h2vk7bmsa.bib",
  "cited_by": 0,
  "doi": "10.1155/srat/7644628",
  "fulltext_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13736107/",
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  "issns": [
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    "2042-0056"
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  "landing_url": "https://doi.org/10.1155/srat/7644628",
  "language": "en",
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
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  "pdf_url": "https://onlinelibrary.wiley.com/doi/pdfdirect/10.1155/srat/7644628",
  "pmcid": "PMC13736107",
  "pmid": "42991101",
  "published": "2026-11-04",
  "publisher": "Wiley",
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  "title": "Clinical and Epidemiological Characteristics of Stroke in North Sumatra: A Multicenter Hospital‐Based Study",
  "title_text": "Clinical and Epidemiological Characteristics of Stroke in North Sumatra: A Multicenter Hospital‐Based Study",
  "type": "peer-reviewed",
  "updated_at": "2026-11-09T12:21:38Z",
  "url": "https://research.draconitic.com/paper/8vn5h2vk7bmsa",
  "venue": "Stroke Research and Treatment",
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