4.5 Article

Sex Differences in Treatment and Prognosis of Acute Intracerebral Hemorrhage

Journal

JOURNAL OF WOMENS HEALTH
Volume 32, Issue 1, Pages 102-108

Publisher

MARY ANN LIEBERT, INC
DOI: 10.1089/jwh.2021.0577

Keywords

hemorrhagic stroke; sex; differences; prognosis; women

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This study found gender differences in patients with intracerebral hemorrhage (ICH), with women being less likely to receive treatment in a stroke unit and less likely to be discharged home. However, there were no significant differences in functional outcome or survival between men and women at the 3-month follow-up.
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.

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