Background: Globally, stroke appears as a major cause of preventable death and disability.rnIn Ethiopia, the intra-hospital mortality of stroke is significant and there is scarcity ofrnepidemiologic data whether there is a difference in the overall survival time betweenrnhypertensive and non-hypertensive adult stroke patients admitted in specialized hospitals. rnObjectives: To determine the survival of stroke patients according to their hypertensionrnstatus admitted in Ayder Comprehensive Specialized Hospital, Northern Ethiopia fromrnMarch 1, 2012 to February 28, 2019. rnMethods: A facility-based retrospective cohort study conducted among all cohorts ofrnconfirmed first-ever stroke patients admitted in Ayder Comprehensive Specialized Hospital,rnNorthern Ethiopia. Kaplan-Meier survival analysis applied to estimate the survival rnprobability of hypertensive and non-hypertensive first ever stroke patients. Cox proportional rnhazards regression model used to determine the adjusted hazard ratio of death for each mainrnbaseline predictor variable, with 95% CI and P-value