Sex Differences in Treatment and Prognosis of Acute Intracerebral Hemorrhage.
Erika BrobergClara HjalmarssonMehrnoush SetalaniRubincho MilenkoskiBjörn AnderssonPublished in: Journal of women's health (2002) (2022)
Background: Intracerebral hemorrhage (ICH) accounts for 10%-15% of all stroke cases and is associated with a high risk of death and disability. Prior studies in ischemic stroke have demonstrated a less favorable outcome in women compared with men, but there is a paucity of data regarding differences in outcome by sex in ICH. The aim of the present study was to investigate possible sex differences in acute care and the 3-months follow-up of patients with ICH. Methods: Data were collected from the Swedish National Stroke Registry (Riksstroke). Demographic and baseline characteristics were collected, based on in-hospital data and data from 3-months follow-up. Results: Variables of interest were collected from 1,403 patients. Women (45.1%) were significantly older than men, with a mean age ± standard deviation of 77 ± 13years, versus 71 ± 14 years, p < 0.01. On admission, the ICH severity was similar in men and women. There was no significant association between sex and reception of neuroimaging or neurosurgery. Women were less likely to be treated in a stroke unit (80.8% vs. 85.3%, p = 0.03), or discharged to home (51.5% vs. 63.4%, p < 0.01). At 3-months follow-up, there were no sex-related differences regarding dependence, post-ICH self-reported depression, or case fatality. Conclusions: Women were less likely to be treated in a stroke unit, and were less often discharged to home. However, no significant differences in 3-month functional outcome or survival between men and women with ICH were found in this study.
Keyphrases
- atrial fibrillation
- polycystic ovary syndrome
- acute care
- electronic health record
- healthcare
- pregnancy outcomes
- big data
- middle aged
- cervical cancer screening
- newly diagnosed
- emergency department
- breast cancer risk
- end stage renal disease
- ejection fraction
- data analysis
- pregnant women
- depressive symptoms
- cerebral ischemia
- physical activity
- prognostic factors
- intensive care unit
- peritoneal dialysis
- blood brain barrier
- hepatitis b virus
- community dwelling
- drug induced
- respiratory failure
- adverse drug
- case control
- mechanical ventilation