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December 30, 2025Discover Public HealthOpen Access

Sex differences in stroke outcomes: a retrospective analysis

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Key result

Female stroke patients have ~25% greater absolute pre-existing disability than men despite similar overall recovery.

  • P=0.0001
  • n=271

Why the study?

Sex-based differences in stroke outcomes have been well documented, with women often experiencing more severe strokes and poorer recoveries.

Do stroke outcomes, severity, and baseline functional status differ between male and female patients?

Population

Adult patients with confirmed acute stroke admitted to Milton Keynes University Hospital from 2022 to 2023

Comparison

Women vs men

Design

Retrospective cohort study

Follow-up

At discharge

Authors

SISara IbzeaTFTarek FatrousSHSharafath Hussain Zahir Hussain

Discussion

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Member takes

Overview

Sex differences in stroke outcomes warrant continued monitoring in routine care; leaves open whether targeted strategies improve recovery in women.

Study Design

Type

Cohort (n=271)

Multicenter

No

Structured PICO

Do stroke outcomes, severity, and baseline functional status differ between male and female patients?

P
Population
271 adult patients admitted with acute stroke, assessed to determine sex-based differences in stroke severity, functional status, and early palliative care decisions.
O
Outcome
Stroke severity (NIHSS at admission), functional status (mRS before and after stroke, assessed at discharge), and early palliative care decisions within 72 hours

Main Result

Absolute Event Rate: 54.6% vs 79.4%

p-value: p=0.0001

Women presenting with acute stroke are significantly older and have greater baseline disability than men, highlighting the need for sex-specific considerations in stroke management.

Limitations

  • Retrospective design
  • Lack of data on comorbidities, laboratory results, medication use, and thrombolysis treatment
  • Possible variability in mRS scoring despite guideline adherence

Cite This Study

Ibzea et al. (2025) conducted a cohort in Acute stroke (n=271). Female sex vs. Male sex was evaluated on Pre-stroke functional status (mRS = 0) (p=0.0001). Women presenting with acute stroke had significantly greater pre-existing disability compared to men (54.6% vs 79.4% with no symptoms), though overall stroke severity and recovery did not differ significantly.

synapsesocial.com/papers/6a616d89346eb5614926ddb3https://doi.org/10.1186/s12982-025-01324-9
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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 the Clinical Presentation, Resource Use, and 3-Month Outcome of Acute Stroke in Europe2003 · 658 citations
  2. 2The Impact of Sex and Gender on Stroke2022 · 568 citations
  3. 3An Updated Definition of Stroke for the 21st Century2013 · 3,592 citations
  4. 4Young Women Have Poorer Outcomes than Men after Stroke2011 · 41 citations
  5. 5Impact of Female Gender on Prognosis in Type 2 Diabetic Patients with Ischemic Stroke2006 · 57 citations