Background: Among persons over sixty, stroke is the 2^nd major cause of death, and the sixth greatest cause of death among those aged 15 to 59 years. It is also one of the most common causes of disability and death. Respiratory complications are very common in stroke patients. Pneumonia affects up to a third of those who have had a stroke.

Objective: To find out frequency of aspiration pneumonia in stroke patients

Methodology: This study design was Descriptive cross-sectional conducted at the Medicine department, Khyber Teaching Hospital, Peshawar from 15^Th October 2019 to 15^th April 2020. All patients admitted in medical D unit meeting the inclusion criteria were included in the study. Necessary investigations such as sputum examination, chest x-ray, total leukocyte count and physical examination was done to confirm aspiration pneumonia. Data analysis was done by using IBM SPSS version 23.

Results: Ischemic stroke amongst 100 patients was observed in 68(68%) patients while hemorrhagic stroke was observed in 32(32%) patients. Amongst 100 stroke patients aspiration pneumonia was observed in 17(17%) patients whereas it was not observed in 83(83%) patients.

Conclusion: Our study concludes that frequency of aspiration pneumonia in patients with stroke is high in our population. Aspiration pneumonia should be early diagnosed and it should be properly managed to decrease the mortality and morbidity.

Keywords: Aspiration pneumonia; Stroke; Mortality