Background:

The ischemic stroke (IS) is one of the leading causes of mortality worldwide. approximately 90% of patients manifest complications that have been progressively increasing since the last decades. The objective of the study is to determine the inpatient complications of IS in second level hospitals during the period 2020-2022.

Methodology:

A retrospective study was carried out in two second level hospitals in Guayaquil. Patients with age ≥ 40 years with de novo ischemic cerebrovascular disease were included. The Oxfordshire Community Stroke Project (OCSP) classification was used to categorize patients according to the affected circulation, with the neurologist being the professional responsible for carrying out said categorization. Descriptive statistics were applied to determine the most frequent neurological complications (NC) and extraneurological (ENC), using frequencies and percentages.

Results:

In 320 patients with IS, 64% were men with a mean age of 70 years. In-hospital complications occurred in 72.8% of the patients. The average incidence of NC in the study population was 48.1% while ENC was 55.6%.

Conclusion:

In-hospital complications of IS are frequent and their incidence varies depending on the affected circulation.