To collect and form a common and robust database online and stratify the risk factors of stroke and to call the global community to make a common stroke database worldwide.

Stroke is the second most common cause for death and disability worldwide. The burden of stroke is increasing in exponential manner in low- and middle-income countries (LMICs). Despite of this fact, the data of actual stroke patients in these countries is nonexistent.

An electronic medical health record (MHR) was formed. Each patient at admission was assigned a unique identifier number in which all the information was stored. Later, his medical information including diagnosis and other details were separately kept under same unique identifier number which can be retrieved at the desired time.

The study was carried from 2016 January through 2018 May. Among the data of total 3942 patients, more than 500 patients were identified as stroke of both types. Majority was (63%) were identified as ischemic stroke. Hypertension was present in 87.1% in hemorrhagic and 59.3% in ischemic stroke. Risk factors like smoking and alcohol were moderately prevalent (27 % smoking and alcohol consumption in ischemic and 30.9% smoking and 36.1% alcohol consumption in hemorrhagic population). In both types of stroke, poor outcome was associated with presence of diabetes (OR: 1.31, 95% CI: 0.52-3.33, male sex (OR=1.53, 95% CI: 0.70-3.33).

This study is a first time ever done in Nepal making use of a proper electronic database with majority of information stored and secured with good safety and privacy rules. Our database shows that stroke is quite prevalent and the hypertension (a preventable cause) is the main reason behind it. A storage as a common database on the global basis is necessary.