Gender Gap and Risk Factors for Poor Stroke Outcomes: A Single Hospital-Based Prospective Cohort Study

Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association
Kuo-Hua HungPei-Hao Chen

Abstract

This study intended to investigate whether etiological stroke subtypes and their corresponding major risk factors have differential effects on outcomes between genders. We enrolled 403 consecutive patients with first-ever acute ischemic stroke (170 women, 233 men), from a referral hospital in Taiwan over a 2-year period. Gender differences in demographics, vascular risk factors, access to health care, etiological stroke subtypes, stroke severity, and outcomes were examined. The primary outcome variable of the study was any unfavorable outcome due to acute ischemic stroke, defined as a modified Rankin Scale score of 3 or higher at 90 days after stroke. Multivariable logistic regression models were used to identify predictors of poor outcomes. There were no gender disparities in baseline severity, stroke subtypes, access to health care, and medical comorbidities. Although women had poorer outcomes, female gender was not a predictor of unfavorable outcomes. Important predictors included age of 75years or older (odds ratio [OR] = 2.67; 95% confidence interval [CI], 1.46-4.90), National Institutes of Health Stroke Scale greater than or equal to 8 (OR = 8.38; 95% CI, 4.61-15.2), lack of cohabitation (OR = 2.13; 95% CI, 1.26-3.61), su...Continue Reading

Citations

Feb 29, 2020·Journal of the American Heart Association·Samuel S BruceHooman Kamel
Oct 1, 2020·Women's Health·Solveig DahlBjörn Andersson
Jun 12, 2021·The Journal of Neuroscience Nursing : Journal of the American Association of Neuroscience Nurses·Zhuo-Ran LiLi-Hong Wan

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