Abstract:Objective：To analyze the distribution of pre-hospital emergency stroke in Suzhou，adjust the distribution of resources，and improve the overall ability of stroke treatment. Methods：based on the smart first aid platform，the medical records of stroke patients in pre-hospital emergency rescue in 2018-2022 were extracted from Suzhou Emergency Center and analyzed retrospectively. Results：the male to female ratio of pre-hospital emergency stroke patients was 1.67∶1，the average age was 68.79±15.47 years old，and the average call-to-hospital time was 38.34±17.28 minutes.Pre-hospital emergency stroke cases are mainly concentrated in the winter (October-December) of the year，the peak time of the day is from 7 to 19 o’clock，and the main occurrence areas are in Gusu District，Wujiang District，and Wuzhong District. The items included high blood pressure（58.06%），brain disease（22.72%），and diabetes（19.81%）. In the FAST symptom distribution，limb weakness（68.82%），slurred speech（57.49%），facial paralysis/creeping mouth（34.92%）There are significant differences in age distribution. Conclusions：there are certain rules in the distribution of pre-hospital emergency stroke cases in the population，time，and region. Relevant departments can optimize the allocation of regional emergency resources，improve the stroke treatment level of pre-hospital medical staff，and conduct stroke science education for the elderly population with high-risk factors. comprehensively improve the early detection and early treatment capabilities of stroke cases.