To Örebro University

oru.seÖrebro University Publications
Planned maintenance
A system upgrade is planned for 10/12-2024, at 12:00-13:00. During this time DiVA will be unavailable.
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Sex Differences in Stroke Care and Outcome 2005-2018: Observations From the Swedish Stroke Register
Department of Statistics, USBE, Umeå University, Sweden.
Department of Neuroscience, Uppsala University, Sweden.
Department of Clinical Neuroscience, Sahlgrenska Academy, University of Gothenburg, Sweden .
Örebro University, School of Medical Sciences.ORCID iD: 0000-0002-3845-8100
Show others and affiliations
2021 (English)In: Stroke, ISSN 0039-2499, E-ISSN 1524-4628, Vol. 52, no 10, p. 3233-3242Article in journal (Refereed) Published
Abstract [en]

BACKGROUND AND PURPOSE: Previous studies of stroke management and outcome in Sweden have revealed differences between men and women. We aimed to analyze if differences in stroke incidence, care, and outcome have altered over time.

METHODS: All stroke events registered in the Swedish Stroke Register 2005 to 2018 were included. Background variables and treatment were collected during the acute hospital stay. Survival data were obtained from the national cause of death register by individual linkage. We used unadjusted proportions and estimated age-adjusted marginal means, using a generalized linear model, to present outcome.

RESULTS: We identified 335 183 stroke events and a decreasing incidence in men and women 2005 to 2018. Men were on average younger than women (73.3 versus 78.1 years) at stroke onset. The age-adjusted proportion of reperfusion therapy 2005 to 2018 increased more rapidly in women than in men (2.3%-15.1% in men versus 1.4%-16.9% in women), but in 2018, women still had a lower probability of receiving thrombolysis within 30 minutes. Among patients with atrial fibrillation, oral anticoagulants at discharge increased more rapidly in women (31.2%-78.6% in men versus 26.7%-81.9% in women). Statins remained higher in men (36.9%-83.7% in men versus 32.3%-81.2% in women). Men had better functional outcome and survival after stroke. After adjustment for women's higher age, more severe strokes, and background characteristics, the absolute difference in functional outcome was <1% and survival did not differ.

CONCLUSIONS: Stroke incidence, care, and outcome show continuous improvements in Sweden, and previously reported differences between men and women become less evident. More severe strokes and older age in women at stroke onset are explanations to persisting differences.

Place, publisher, year, edition, pages
AHA Journals , 2021. Vol. 52, no 10, p. 3233-3242
Keywords [en]
Healthcare disparities, mortality, patient reported outcome, secondary prevention, sex, stroke, thrombolysis
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:oru:diva-92801DOI: 10.1161/STROKEAHA.120.033893ISI: 000701327900039PubMedID: 34187179OAI: oai:DiVA.org:oru-92801DiVA, id: diva2:1576677
Note

Funding agency:

National Association for Stroke Patients in Sweden (Stroke-Riksförbundet)

Available from: 2021-07-01 Created: 2021-07-01 Last updated: 2024-01-02Bibliographically approved

Open Access in DiVA

No full text in DiVA

Other links

Publisher's full textPubMed

Authority records

von Euler, Mia

Search in DiVA

By author/editor
von Euler, Mia
By organisation
School of Medical Sciences
In the same journal
Stroke
Health Care Service and Management, Health Policy and Services and Health Economy

Search outside of DiVA

GoogleGoogle Scholar

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 20 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf