학술논문

Age- and Sex-Specific Risk Profiles and In-Hospital Mortality in 13,932 Spanish Stroke Patients
Document Type
Academic Journal
Source
Cerebrovascular Diseases. July 1, 2019, Vol. 47 Issue 3-4, p151, 14 p.
Subject
Spain
Language
English
ISSN
1015-9770
Abstract
Background: In-hospital stroke death rate is an important sanitary issue. Despite advances in the acute phase management of stroke patients, mortality and disability rates remain high. In aging populations and with different mortality between the sexes in general, the study of sex- and age-related differences becomes increasingly relevant for optimization of post-acute clinical care of stroke patients. Methods: We designed a cohort follow-up study with 13,932 consecutive ischemic stroke (IS) patients from 19 Spanish hospitals. Data was obtained from the Spanish Stroke Registry; transient ischemic attacks and ages 0.05) between the sexes within any age group, in-hospital mortality appeared significantly higher in women than that in men when analysed overall, due to confounding. Death was more closely related to stroke in women than in men and occurred earlier. Although there were some age-specific sex differences between the predictors for in-hospital mortality, stroke severity measured by NIHSS was the main predictor of in-hospital mortality for both sexes. Topographic classifications - partial anterior circulatory infarct and total anterior circulatory infarct - were significant prognostic factors for men aged Keywords: Mortality, Ischemic stroke, Sex differences, Age differences
Author(s): Francisco Purroy (corresponding author) [a]; Ana Vena [a]; Carles Forné [b]; Ana María de Arce [c]; Antonio Dávalos [d]; Blanca Fuentes [e]; Juan Francisco Arenillas [f]; Jerzy Krupinski [g]; [...]