Dr. Pawan T Ojha, Dr. Suranjana Basak, Dr. Vikram Aglave, Dr. Jayendra Yadav


Introduction: In a developing country like India, it is imperative to study the effects of age and gender on the incidence of stroke as it has important implications in making health policy decisions.

Methods: We evaluated the incidence of stroke in patients over 15 years of age at Navi Mumbai, India during the period 2013-19 in Navi Mumbai, India. Outcomes studied were incidence of stroke stratified by age, sex, and stroke subtype.

Results: Out of a total of 1377 patients, 1246 were ischemic and 131 haemorrhagic. The mean age was 49.06 years and 53% were males. Nearly half of the strokes occurred in 46-65 years group, and one-thirds in over 65 years of age. 21% bleeds and 16% of infarcts occurred under 45years of age. Younger females had lesser risk stroke as compared to males but females above 65years had a significantly greater risk of infarct (P value <0.005).The risk of intracerebral bleed in males under 45 years was significantly more than that of females (p value <0.001).

Conclusion: Incidence of stroke increases with age, peaking in the highly productive age group of 46-65 years. The risk of any stroke was lower in younger women as compared to men, but elderly women (>65 years of age) were more prone to ischemic stroke than elderly males. Intracerebral haemorrhage occurred significantly more often in men than women under the age of 45years. These findings have important implications for public health policy and sociocultural changes.


Incidence, stroke, infarct, haemorrhage, age, gender

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Global Health Estimates. Geneva: World Health Organization; 2012. Available from: [cited 2016 June 1].

Owolabi MO, Akarolo-Anthony S, Akinyemi R, Arnett D, Gebregziabher M, Jenkins C, et al.; Members of the H3Africa Consortium. The burden of stroke in Africa: a glance at the present and a glimpse into the future. Cardiovasc J Afr. 2015 Mar-Apr;26(2) Suppl 1:S27–38. 25962945

Feigin VL, Forouzanfar MH, Krishnamurthi R, Mensah GA, Connor M, Bennett DA, et al.; Global Burden of Diseases, Injuries, and Risk Factors Study 2010 (GBD 2010) and the GBD Stroke Experts Group. Global and regional burden of stroke during 1990-2010: findings from the Global Burden of Disease Study 2010. Lancet. 2014 Jan 18;383(9913):245–54. pmid: 24449944

Feigin VL, Lawes CMM, Bennett DA, Barker-Collo SL, Parag V. Worldwide stroke incidence and early case fatality reported in 56 population-based studies: a systematic review. Lancet Neurol. 2009 Apr;8(4):355–69. pmid: 19233729

Strong K, Mathers C, Bonita R. Preventing stroke: saving lives around the world. Lancet Neurol. 2007 Feb;6(2):182–7. pmid: 17239805

Brett M. Kissela, et al. Age at stroke.Neurology.2012 Oct 23;79(17):1781-1787

Charles .D.A Wolfe, et al.Incidence of stroke in Europe at the beginning of the 21st century. Stroke.2009;40:1557-1563

Dalal PM,et al. Population based stroke survey in Mumbai, India: incidence and 28 day case fatality.Neuroepidemiology 2008;31:254-261.

Sridharan SE, et al. Incidence , types, risk factors, and outcome of stroke in a developing country: the Trivandrum Stroke Registry. Stroke 2009;40:1212-1218.

Das SK, et al. A prospective community-based study of stroke in Kolkata, India. Stroke 2007;38:906-910.

Nagaraja D, et al. Feasibility study of stroke surveillance: data from Bangalore,India. Indian J Med Res 2009;130:396-403.

Amytis Towfighi, et al. A midlife surge among women in the United States. Neurology Nov 2007,69 (20) 1898-1904.

Raghavendra L Girijala, et al. Sex differences in stroke: review of current knowledge and evidence. Vascular Medicine 2017, Vol. 22 (2) 135-145.


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