Gender disparity in stoke: Women have higher ICH scores than men at initial ED presentation for intracerebral hemorrhage
To determine what if any differences in presentation exist between men and women who present with acute intracerebral hemorrhage (ICH) to the emergency department (ED). This was an IRB approved prospective cohort study of ED patients presenting with acute intracerebral hemorrhage. Statistical analys...
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| Veröffentlicht in: | Journal of the National Medical Association 2023-04, Vol.115 (2), p.186-190 |
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| creator | Ganti, Latha Shameem, Masra Houck, Jessica Stead, Thor S. Stead, Tej G. Cesarz, Taylor Mirajkar, Amber |
| description | To determine what if any differences in presentation exist between men and women who present with acute intracerebral hemorrhage (ICH) to the emergency department (ED).
This was an IRB approved prospective cohort study of ED patients presenting with acute intracerebral hemorrhage. Statistical analyses were performed in JMP 14.1. Non parametric methods were used for skewed variables. The study was conducted in a comprehensive stroke center. The independent variable was the ICH score, and the dependent variable of interest was ultimate disposition (death or hospice vs. home or skilled nursing facility).
The cohort consisted of 129 patients (54 women and 75 men). The median age was 71 years (IQR 58-81). The baseline co-morbidities were similar between both men and women and whether or not they were independent in their activities of daily living prior to experiencing their ICH. The overall median ICH score for women was 2, IQR 1-4, and 1 for men, IQR 1-2 (P = 0.0369) . A higher ICH score was significantly associated with in-hospital death and or hospice status (P = .0095, 95% CI 0.6340 – 0.4825). Conversely, a lower ICH score was significantly associated with being discharged home (P< 0.001, 95% CI -0.1694 to -0.0759).
Women have higher ICH scores than men at initial ED presentation for intracerebral hemorrhage. A higher ICH score is significantly associated with the worse outcomes of death and/or hospice. |
| doi_str_mv | 10.1016/j.jnma.2023.01.013 |
| format | Article |
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This was an IRB approved prospective cohort study of ED patients presenting with acute intracerebral hemorrhage. Statistical analyses were performed in JMP 14.1. Non parametric methods were used for skewed variables. The study was conducted in a comprehensive stroke center. The independent variable was the ICH score, and the dependent variable of interest was ultimate disposition (death or hospice vs. home or skilled nursing facility).
The cohort consisted of 129 patients (54 women and 75 men). The median age was 71 years (IQR 58-81). The baseline co-morbidities were similar between both men and women and whether or not they were independent in their activities of daily living prior to experiencing their ICH. The overall median ICH score for women was 2, IQR 1-4, and 1 for men, IQR 1-2 (P = 0.0369) . A higher ICH score was significantly associated with in-hospital death and or hospice status (P = .0095, 95% CI 0.6340 – 0.4825). Conversely, a lower ICH score was significantly associated with being discharged home (P< 0.001, 95% CI -0.1694 to -0.0759).
Women have higher ICH scores than men at initial ED presentation for intracerebral hemorrhage. A higher ICH score is significantly associated with the worse outcomes of death and/or hospice.</description><identifier>ISSN: 0027-9684</identifier><identifier>EISSN: 1943-4693</identifier><identifier>DOI: 10.1016/j.jnma.2023.01.013</identifier><identifier>PMID: 36781362</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Activities of Daily Living ; Age ; Aged ; Anticoagulants ; Blood pressure ; Cardiac arrhythmia ; Cerebral Hemorrhage ; Coma ; Data collection ; Diabetes ; Emergency medical care ; Emergency medicine ; Female ; Gender differences ; Gender equity ; Hematoma ; Hemorrhage ; Hospital Mortality ; Hospitals ; Humans ; Hyperlipidemia ; Hypertension ; Intracerebral hemorrhage ; Ischemia ; Male ; Mortality ; Patients ; Prospective Studies ; Retrospective Studies ; Risk factors ; Statistical analysis ; Treatment Outcome ; Variables ; Women</subject><ispartof>Journal of the National Medical Association, 2023-04, Vol.115 (2), p.186-190</ispartof><rights>2023 National Medical Association</rights><rights>Copyright © 2023 National Medical Association. Published by Elsevier Inc. All rights reserved.</rights><rights>2023. National Medical Association</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c379t-f330b420a5f2892bb487eed7a7c9dfd8092c523b96dbe0a9cd3c295a738436bb3</cites><orcidid>0000-0001-7717-3864</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36781362$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ganti, Latha</creatorcontrib><creatorcontrib>Shameem, Masra</creatorcontrib><creatorcontrib>Houck, Jessica</creatorcontrib><creatorcontrib>Stead, Thor S.</creatorcontrib><creatorcontrib>Stead, Tej G.</creatorcontrib><creatorcontrib>Cesarz, Taylor</creatorcontrib><creatorcontrib>Mirajkar, Amber</creatorcontrib><title>Gender disparity in stoke: Women have higher ICH scores than men at initial ED presentation for intracerebral hemorrhage</title><title>Journal of the National Medical Association</title><addtitle>J Natl Med Assoc</addtitle><description>To determine what if any differences in presentation exist between men and women who present with acute intracerebral hemorrhage (ICH) to the emergency department (ED).
This was an IRB approved prospective cohort study of ED patients presenting with acute intracerebral hemorrhage. Statistical analyses were performed in JMP 14.1. Non parametric methods were used for skewed variables. The study was conducted in a comprehensive stroke center. The independent variable was the ICH score, and the dependent variable of interest was ultimate disposition (death or hospice vs. home or skilled nursing facility).
The cohort consisted of 129 patients (54 women and 75 men). The median age was 71 years (IQR 58-81). The baseline co-morbidities were similar between both men and women and whether or not they were independent in their activities of daily living prior to experiencing their ICH. The overall median ICH score for women was 2, IQR 1-4, and 1 for men, IQR 1-2 (P = 0.0369) . A higher ICH score was significantly associated with in-hospital death and or hospice status (P = .0095, 95% CI 0.6340 – 0.4825). Conversely, a lower ICH score was significantly associated with being discharged home (P< 0.001, 95% CI -0.1694 to -0.0759).
Women have higher ICH scores than men at initial ED presentation for intracerebral hemorrhage. A higher ICH score is significantly associated with the worse outcomes of death and/or hospice.</description><subject>Activities of Daily Living</subject><subject>Age</subject><subject>Aged</subject><subject>Anticoagulants</subject><subject>Blood pressure</subject><subject>Cardiac arrhythmia</subject><subject>Cerebral Hemorrhage</subject><subject>Coma</subject><subject>Data collection</subject><subject>Diabetes</subject><subject>Emergency medical care</subject><subject>Emergency medicine</subject><subject>Female</subject><subject>Gender differences</subject><subject>Gender equity</subject><subject>Hematoma</subject><subject>Hemorrhage</subject><subject>Hospital Mortality</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Hyperlipidemia</subject><subject>Hypertension</subject><subject>Intracerebral hemorrhage</subject><subject>Ischemia</subject><subject>Male</subject><subject>Mortality</subject><subject>Patients</subject><subject>Prospective Studies</subject><subject>Retrospective Studies</subject><subject>Risk factors</subject><subject>Statistical analysis</subject><subject>Treatment Outcome</subject><subject>Variables</subject><subject>Women</subject><issn>0027-9684</issn><issn>1943-4693</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU9v1DAQxS0EokvhC3BAlrhwyeLYif8gLtVS2kqVuIA4Wo49aRw29mJ7K_rtcbSFAwekkebwfu9pNA-h1y3ZtqTl7-ftHBazpYSyLWnrsCdo06qONR1X7CnaEEJFo7jsztCLnGdCiFR9_xydMS5kyzjdoF9XEBwk7Hw-mOTLA_YB5xJ_wAf8PS4Q8GTuAU_-bqrUze4aZxsTZFwmE_Cqm1Itvnizx5ef8KFqEIopPgY8xlS1koyFBEOqxARLTGkyd_ASPRvNPsOrx32Ovn2-_Lq7bm6_XN3sLm4by4QqzcgYGTpKTD9SqegwdFIAOGGEVW50kihqe8oGxd0AxCjrmKWqN4LJjvFhYOfo3Sn3kOLPI-SiF58t7PcmQDxmTYXgfSs6xir69h90jscU6nWayk4q2cuOV4qeKJtizglGfUh-MelBt0SvvehZr73otRdN2jpr9JvH6OOwgPtr-VNEBT6eAKi_uPeQdLYeggXnE9iiXfT_y_8NIOyfJA</recordid><startdate>202304</startdate><enddate>202304</enddate><creator>Ganti, Latha</creator><creator>Shameem, Masra</creator><creator>Houck, Jessica</creator><creator>Stead, Thor S.</creator><creator>Stead, Tej G.</creator><creator>Cesarz, Taylor</creator><creator>Mirajkar, Amber</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>4T-</scope><scope>4U-</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-7717-3864</orcidid></search><sort><creationdate>202304</creationdate><title>Gender disparity in stoke: Women have higher ICH scores than men at initial ED presentation for intracerebral hemorrhage</title><author>Ganti, Latha ; Shameem, Masra ; Houck, Jessica ; Stead, Thor S. ; Stead, Tej G. ; Cesarz, Taylor ; Mirajkar, Amber</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c379t-f330b420a5f2892bb487eed7a7c9dfd8092c523b96dbe0a9cd3c295a738436bb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Activities of Daily Living</topic><topic>Age</topic><topic>Aged</topic><topic>Anticoagulants</topic><topic>Blood pressure</topic><topic>Cardiac arrhythmia</topic><topic>Cerebral Hemorrhage</topic><topic>Coma</topic><topic>Data collection</topic><topic>Diabetes</topic><topic>Emergency medical care</topic><topic>Emergency medicine</topic><topic>Female</topic><topic>Gender differences</topic><topic>Gender equity</topic><topic>Hematoma</topic><topic>Hemorrhage</topic><topic>Hospital Mortality</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Hyperlipidemia</topic><topic>Hypertension</topic><topic>Intracerebral hemorrhage</topic><topic>Ischemia</topic><topic>Male</topic><topic>Mortality</topic><topic>Patients</topic><topic>Prospective Studies</topic><topic>Retrospective Studies</topic><topic>Risk factors</topic><topic>Statistical analysis</topic><topic>Treatment Outcome</topic><topic>Variables</topic><topic>Women</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ganti, Latha</creatorcontrib><creatorcontrib>Shameem, Masra</creatorcontrib><creatorcontrib>Houck, Jessica</creatorcontrib><creatorcontrib>Stead, Thor S.</creatorcontrib><creatorcontrib>Stead, Tej G.</creatorcontrib><creatorcontrib>Cesarz, Taylor</creatorcontrib><creatorcontrib>Mirajkar, Amber</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Docstoc</collection><collection>University Readers</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the National Medical Association</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ganti, Latha</au><au>Shameem, Masra</au><au>Houck, Jessica</au><au>Stead, Thor S.</au><au>Stead, Tej G.</au><au>Cesarz, Taylor</au><au>Mirajkar, Amber</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Gender disparity in stoke: Women have higher ICH scores than men at initial ED presentation for intracerebral hemorrhage</atitle><jtitle>Journal of the National Medical Association</jtitle><addtitle>J Natl Med Assoc</addtitle><date>2023-04</date><risdate>2023</risdate><volume>115</volume><issue>2</issue><spage>186</spage><epage>190</epage><pages>186-190</pages><issn>0027-9684</issn><eissn>1943-4693</eissn><abstract>To determine what if any differences in presentation exist between men and women who present with acute intracerebral hemorrhage (ICH) to the emergency department (ED).
This was an IRB approved prospective cohort study of ED patients presenting with acute intracerebral hemorrhage. Statistical analyses were performed in JMP 14.1. Non parametric methods were used for skewed variables. The study was conducted in a comprehensive stroke center. The independent variable was the ICH score, and the dependent variable of interest was ultimate disposition (death or hospice vs. home or skilled nursing facility).
The cohort consisted of 129 patients (54 women and 75 men). The median age was 71 years (IQR 58-81). The baseline co-morbidities were similar between both men and women and whether or not they were independent in their activities of daily living prior to experiencing their ICH. The overall median ICH score for women was 2, IQR 1-4, and 1 for men, IQR 1-2 (P = 0.0369) . A higher ICH score was significantly associated with in-hospital death and or hospice status (P = .0095, 95% CI 0.6340 – 0.4825). Conversely, a lower ICH score was significantly associated with being discharged home (P< 0.001, 95% CI -0.1694 to -0.0759).
Women have higher ICH scores than men at initial ED presentation for intracerebral hemorrhage. A higher ICH score is significantly associated with the worse outcomes of death and/or hospice.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>36781362</pmid><doi>10.1016/j.jnma.2023.01.013</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0001-7717-3864</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Activities of Daily Living Age Aged Anticoagulants Blood pressure Cardiac arrhythmia Cerebral Hemorrhage Coma Data collection Diabetes Emergency medical care Emergency medicine Female Gender differences Gender equity Hematoma Hemorrhage Hospital Mortality Hospitals Humans Hyperlipidemia Hypertension Intracerebral hemorrhage Ischemia Male Mortality Patients Prospective Studies Retrospective Studies Risk factors Statistical analysis Treatment Outcome Variables Women |
| title | Gender disparity in stoke: Women have higher ICH scores than men at initial ED presentation for intracerebral hemorrhage |
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