Gender differences in acute stroke: Istanbul Medical School Stroke Registry


Yesilot N. , Koyuncu B. A. , Coban O., Tuncay R., Bahar S. Z.

NEUROLOGY INDIA, cilt.59, ss.174-179, 2011 (SCI İndekslerine Giren Dergi) identifier identifier identifier

  • Cilt numarası: 59 Konu: 2
  • Basım Tarihi: 2011
  • Doi Numarası: 10.4103/0028-3886.79130
  • Dergi Adı: NEUROLOGY INDIA
  • Sayfa Sayıları: ss.174-179

Özet

Background: We aimed to investigate gender differences in Turkish stroke patients. Material and Methods: Demographics, risk factors, clinical and etiologic subtypes, laboratory findings, clinical course, and in-hospital prognosis of 1 522 patients with ischemic stroke (IS) and 320 patients with intracerebral hemorrhage prospectively registered in the Istanbul Medical School Stroke Registry (1994-2004) were analyzed separately. Results: The mean age of IS patients was higher in females (n : 751) (P<0.0001). In males, smoking, ischemic heart disease, peripheral arterial disease, posterior circulation syndromes, and strokes due to large-artery atherosclerosis were more common (P<0.0001 for each). Prestroke disability, atrial fibrillation (P<0.0001), hypertension (P=0.041), modified Rankin Scale (mRS) 3-5 at admission (P<0.0001), total anterior circulation syndrome (P<0.0001), and cardioembolic stroke (P<0.0001) were more frequent in females. Female gender was an independent predictor of poor outcome (mRS 3-6). Conclusion: Gender differences were observed exclusively in patients with IS. Although our patients were younger than those reported, gender differences were similar.