Clinical and Epidemiological Characteristics of Stroke in North Sumatra: A Multicenter Hospital‐Based Study

@article{fitri2026clinical,
  title = {{Clinical and Epidemiological Characteristics of Stroke in North Sumatra: A Multicenter Hospital‐Based Study}},
  author = {Fasihah Irfani Fitri and Alfansuri Kadri and Chairil Amin Batubara and Prima Heptayana Nainggolan and Oriza Novita and Etiya Ekayana and Muhammad Gandhi Sastrawan and Neni Nurchalida and Ika Mariana Gultom and Carina Shelia Puspitasari and Saulina Sembiring and Adi Putra and Petrus Nilwan Ginting and Irina Kemala Nasution and Annisa Ismira and Lisbeth Meilina Sitanggang and Meiriani Keliat and Minar Aritonang and Octaviasari Agatha Dachi and Erlina Theovani Damanik and Cut Aria Arina and Aldy Safruddin Rambe and Indonesian Neurological Association Medan Chapter, Medan, North Sumatra, Indonesia},
  journal = {Stroke Research and Treatment},
  year = {2026},
  month = nov,
  doi = {10.1155/srat/7644628},
  url = {https://doi.org/10.1155/srat/7644628},
  note = {CC BY 4.0},
}

TY  - JOUR
TI  - Clinical and Epidemiological Characteristics of Stroke in North Sumatra: A Multicenter Hospital‐Based Study
AU  - Fasihah Irfani Fitri
AU  - Alfansuri Kadri
AU  - Chairil Amin Batubara
AU  - Prima Heptayana Nainggolan
AU  - Oriza Novita
AU  - Etiya Ekayana
AU  - Muhammad Gandhi Sastrawan
AU  - Neni Nurchalida
AU  - Ika Mariana Gultom
AU  - Carina Shelia Puspitasari
AU  - Saulina Sembiring
AU  - Adi Putra
AU  - Petrus Nilwan Ginting
AU  - Irina Kemala Nasution
AU  - Annisa Ismira
AU  - Lisbeth Meilina Sitanggang
AU  - Meiriani Keliat
AU  - Minar Aritonang
AU  - Octaviasari Agatha Dachi
AU  - Erlina Theovani Damanik
AU  - Cut Aria Arina
AU  - Aldy Safruddin Rambe
AU  - Indonesian Neurological Association Medan Chapter, Medan, North Sumatra, Indonesia
PY  - 2026
DA  - 2026/11/04
JO  - Stroke Research and Treatment
DO  - 10.1155/srat/7644628
UR  - https://doi.org/10.1155/srat/7644628
AB  - 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.  Methods: 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.  Results: 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.  Conclusion: 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.
SN  - 2090-8105
SN  - 2042-0056
ER  -