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Sex differences in stroke care and outcome in the Swedish national quality register for stroke care
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Medicine.
Umeå University, Faculty of Medicine, Department of Pharmacology and Clinical Neuroscience, Pharmacology.
the Department of Neurology, Lund University Hospital, Lund, Sweden.
the Department of Medical Sciences, Uppsala University Hospital, Uppsala.
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2009 (English)In: Stroke, ISSN 0039-2499, E-ISSN 1524-4628, Vol. 40, no 3, 909-914 p.Article in journal (Refereed) Published
Abstract [en]

Background and purpose: Previous reports concerning sex-related differences in stroke management and outcome are inconsistent and are sometimes difficult to interpret. We used data from a national stroke register to further explore possible differences between men and women in baseline characteristics, stroke treatment, and outcome.

Methods: This study included 24633 stroke events registered in Riks-Stroke, the Swedish national quality register for stroke care, during 2006. Information on background variables and treatment was collected during the hospital stay. After 3 months, the patients' living situation and outcome were assessed.

Results: Women were older than men when they had their stroke (mean age, 78.4 versus 73.6 years; P<0.001). On admission to the hospital, women were more often unconscious. Among conscious patients, there was no sex-related difference in the use of stroke unit care. Men and women had equal probability to receive thrombolysis and oral anticoagulants. Women were more likely to develop deep venous thromboses and fractures, whereas men were more likely to develop pneumonia during their hospital stay. Women had a lower 3-month survival, a difference that was associated with higher age and impaired level of consciousness on admission. Women were less often living at home at the 3-month follow-up. However, the difference in residency was not present in patients <85 years who were living at home without community support before the stroke.

Conclusions: Reported sex differences in stroke care and outcome were mainly explained by the women's higher age and lower level of consciousness on admission.

Place, publisher, year, edition, pages
New York: American Heart Association , 2009. Vol. 40, no 3, 909-914 p.
Keyword [en]
outcome, registry, sex, stroke, stroke management
National Category
Clinical Medicine
Identifiers
URN: urn:nbn:se:umu:diva-19109DOI: 10.1161/STROKEAHA.108.517581PubMedID: 19118246OAI: oai:DiVA.org:umu-19109DiVA: diva2:201394
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digitalisering@umu
Available from: 2009-03-04 Created: 2009-03-04 Last updated: 2017-12-13Bibliographically approved
In thesis
1. Stroke care in Sweden: Hospital care and patient follow-up based on Riks-Stroke, the National Quality Register for Stroke Care
Open this publication in new window or tab >>Stroke care in Sweden: Hospital care and patient follow-up based on Riks-Stroke, the National Quality Register for Stroke Care
2003 (English)Doctoral thesis, comprehensive summary (Other academic)
Place, publisher, year, edition, pages
Umeå: Umeå Universitet, 2003. 92 p.
Series
Umeå University medical dissertations, ISSN 0346-6612 ; 838
Keyword
stroke care, quality register, routine clinical practice, validation, sex differences, stroke units, atrial fibrillation, oral anticoagulants, post-stroke fatigue
National Category
Clinical Medicine
Identifiers
urn:nbn:se:umu:diva-94114 (URN)91-7305-426-7 (ISBN)
Public defence
2003-05-28, Tandläkarhögskolan, sal B, 9 trp., Umeå universitet, Umeå, 13:00
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Supervisors
Projects
digitalisering@umu
Note

Diss. (sammanfattning) Umeå : Umeå universitet, 2003

Available from: 2014-10-17 Created: 2014-10-03 Last updated: 2015-04-08Bibliographically approved

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