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August 1, 2000Stroke

Female sex was associated with a lower risk of death 1 year after acute stroke compared to male sex (adjusted OR 0.939; 95% CI 0.899-0.980; P=0.004), despite men receiving more antiplatelets.

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Why the study?

Are there sex differences in the management and outcomes of patients with acute stroke?

Population

44,832 patients discharged from acute-care hospitals in Ontario between April 1993 and March 1996 with a…

Comparison

Male sex vs Female sex

Design

Cohort

Follow-up

1 year

Key result

Female sex was associated with a lower risk of death 1 year after acute stroke compared to male sex (adjusted OR 0.939; 95% CI 0.899-0.980; P=0.004), despite men receiving more antiplatelets.

Authors

JHJayna Holroyd‐LeducUniversity of CalgaryMKMoira K. KapralVascular MedicinePAPeter C. AustinHeart Failure & Transplant

Discussion

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Overview

Women show lower post-stroke mortality despite less antiplatelet use; leaves open whether sex-tailored care improves outcomes.

Study Design

Type

Cohort (n=44,832)

Multicenter

Yes

Structured PICO

Are there sex differences in the management and outcomes of patients with acute stroke?

P
Population
44,832 patients discharged from acute-care hospitals in Ontario between April 1993 and March 1996 with a most responsible diagnosis of acute stroke.
I
Intervention
Male sex
C
Comparator
Female sex
O
Outcome
Sex differences in comorbidities, use of rehabilitative services, use of antiplatelet therapy and anticoagulants (in elderly stroke survivors aged >=65 years), discharge destination, and mortalityhard clinical

Main Result

Effect estimate: adjusted OR 0.939 (95% CI 0.899 to 0.980)

p-value: p=0.004

Despite elderly men being more likely to receive antiplatelet therapy after a stroke, elderly women have a better 1-year survival.

Cite This Study

Holroyd‐Leduc et al. (2000) conducted a cohort in acute stroke (n=44,832). Female sex vs. Male sex was evaluated on Risk of death 1 year after stroke (adjusted OR 0.939, 95% CI 0.899 to 0.980, p=0.004). Female sex was associated with a lower risk of death 1 year after acute stroke compared to male sex (adjusted OR 0.939; 95% CI 0.899-0.980; P=0.004), despite men receiving more antiplatelets.

synapsesocial.com/papers/6a11c81135a4eec8fedcd3a9https://doi.org/10.1161/01.str.31.8.1833
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Sex Differences in Management and Outcome After Stroke2003 · 330 citations
  2. 2Sex Disparity in the Access of Elderly Patients to Acute Stroke Care2007 · 115 citations
  3. 3Sex differences in stroke outcomes: a retrospective analysis2025
  4. 4Gender Differences in Stroke Examined in a 10-Year Cohort of Patients Admitted to a Canadian Teaching Hospital2008 · 138 citations
  5. 5Sex differences in vascular risk factors, in‐hospital management, and outcomes of patients with acute ischemic stroke in China2021 · 24 citations