Why the study?
Does female sex impact the quality of care and clinical outcomes in patients admitted for acute ischemic stroke?
Population
383,318 acute ischemic stroke admissions from 1,139 hospitals participating in the GWTG-Stroke program…
Comparison
Female sex vs Male sex
Design
Cohort
Follow-up
in-hospital
Key result
Female sex was associated with a lower likelihood of receiving defect-free care for acute ischemic stroke compared to male sex (66.3% vs 71.1%; aOR 0.86, 95% CI 0.85-0.87).
Authors
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Hypothesis-generating for sex disparities in stroke care quality; prospective studies needed before guiding practice.
Observational (n=383,318)
Yes
Does female sex impact the quality of care and clinical outcomes in patients admitted for acute ischemic stroke?
Odds Ratio: 0.86 (95% CI 0.85–0.87)
Absolute Event Rate: 66.3% vs 71.1%
Women with acute ischemic stroke receive lower quality of care and are less likely to be discharged home compared to men, despite similar risk-adjusted in-hospital mortality.
Reeves et al. (2009) conducted an observational in acute ischemic stroke (n=383,318). Female sex vs. Male sex was evaluated on defect-free care summary measure (proportion of patients who received all eligible interventions) (aOR 0.86, 95% CI 0.85 to 0.87). Female sex was associated with a lower likelihood of receiving defect-free care for acute ischemic stroke compared to male sex (66.3% vs 71.1%; aOR 0.86, 95% CI 0.85-0.87).