{"@context":{"@vocab":"https://cir.nii.ac.jp/schema/1.0/","rdfs":"http://www.w3.org/2000/01/rdf-schema#","dc":"http://purl.org/dc/elements/1.1/","dcterms":"http://purl.org/dc/terms/","foaf":"http://xmlns.com/foaf/0.1/","prism":"http://prismstandard.org/namespaces/basic/2.0/","cinii":"http://ci.nii.ac.jp/ns/1.0/","datacite":"https://schema.datacite.org/meta/kernel-4/","ndl":"http://ndl.go.jp/dcndl/terms/","jpcoar":"https://github.com/JPCOAR/schema/blob/master/2.0/"},"@id":"https://cir.nii.ac.jp/crid/1363670320676050432.json","@type":"Article","productIdentifier":[{"identifier":{"@type":"DOI","@value":"10.1161/01.str.0000083534.81284.c5"}},{"identifier":{"@type":"URI","@value":"https://www.ahajournals.org/doi/full/10.1161/01.STR.0000083534.81284.C5"}},{"identifier":{"@type":"NAID","@value":"30022680149"}}],"dc:title":[{"@value":"Sex Differences in Management and Outcome After Stroke"}],"dcterms:alternative":[{"@value":"A Swedish National Perspective"}],"description":[{"type":"abstract","notation":[{"@value":"<jats:p>\n            <jats:bold>\n              <jats:italic>Background and Purpose—</jats:italic>\n            </jats:bold>\n            It is disputed whether there are sex differences in management and outcome after stroke; early studies have shown inconsistent results. The objective of this study was to verify and explain differences between men and women in management and outcome after stroke in a national perspective.\n          </jats:p>\n          <jats:p>\n            <jats:bold>\n              <jats:italic>Methods—</jats:italic>\n            </jats:bold>\n            In 2001, 20 761 stroke patients were registered in Riks-Stroke, the national quality register for stroke care in Sweden in which all 84 hospitals participate. Data from 9 hospitals that had reported <70% of the estimated stroke events were excluded from analyses, leaving 19 547 patients (9666 women, 9881 men) at 75 hospitals for the present analyses.\n          </jats:p>\n          <jats:p>\n            <jats:bold>\n              <jats:italic>Results—</jats:italic>\n            </jats:bold>\n            Women were older than men (77.8 versus 73.2 years). After age adjustment, female patients were more often disabled, living at home with community support, or in institutions before the stroke. They also had a different cardiovascular risk factor profile. Case fatality ratios during the first 3 months were similar in men and women. After 3 months, more women were physically and mentally impaired and dependent on other persons. Female patients with atrial fibrillation received oral anticoagulants less often than men. Even after multiple adjustments for differences between sexes, female sex was independently associated with institutional living 3 months after the stroke (odds ratio, 1.2; 95% confidence interval, 1.0 to 1.4).\n          </jats:p>\n          <jats:p>\n            <jats:bold>\n              <jats:italic>Conclusions—</jats:italic>\n            </jats:bold>\n            Women have a worse prestroke condition. Except for case fatality ratios, they also have a worse outcome after stroke after adjustment for other prognostic factors. There are also sex differences in the medical management of stroke that need to be rectified.\n          </jats:p>"}]}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1383670320676050432","@type":"Researcher","foaf:name":[{"@value":"Eva-Lotta Glader"}],"jpcoar:affiliationName":[{"@value":"From the Department of Public Health and Clinical Medicine, University Hospital Umeå, Umeå (E.-L.G., B.S., P.-O.W., K.A.); Department of Clinical Neuroscience, Lund University, Lund (B.N.); Department of Medical Science, Uppsala University, Uppsala (A.T.); and Department of Medicine, Enköping Hospital, Enköping (K.H.-Å.), Sweden."}]},{"@id":"https://cir.nii.ac.jp/crid/1383670320676050437","@type":"Researcher","foaf:name":[{"@value":"Birgitta Stegmayr"}],"jpcoar:affiliationName":[{"@value":"From the Department of Public Health and Clinical Medicine, University Hospital Umeå, Umeå (E.-L.G., B.S., P.-O.W., K.A.); Department of Clinical Neuroscience, Lund University, Lund (B.N.); Department of Medical Science, Uppsala University, Uppsala (A.T.); and Department of Medicine, Enköping Hospital, Enköping (K.H.-Å.), Sweden."}]},{"@id":"https://cir.nii.ac.jp/crid/1383670320676050436","@type":"Researcher","foaf:name":[{"@value":"Bo Norrving"}],"jpcoar:affiliationName":[{"@value":"From the Department of Public Health and Clinical Medicine, University Hospital Umeå, Umeå (E.-L.G., B.S., P.-O.W., K.A.); Department of Clinical Neuroscience, Lund University, Lund (B.N.); Department of Medical Science, Uppsala University, Uppsala (A.T.); and Department of Medicine, Enköping Hospital, Enköping (K.H.-Å.), Sweden."}]},{"@id":"https://cir.nii.ac.jp/crid/1383670320676050560","@type":"Researcher","foaf:name":[{"@value":"Andreas Terént"}],"jpcoar:affiliationName":[{"@value":"From the Department of Public Health and Clinical Medicine, University Hospital Umeå, Umeå (E.-L.G., B.S., P.-O.W., K.A.); Department of Clinical Neuroscience, Lund University, Lund (B.N.); Department of Medical Science, Uppsala University, Uppsala (A.T.); and Department of Medicine, Enköping Hospital, Enköping (K.H.-Å.), Sweden."}]},{"@id":"https://cir.nii.ac.jp/crid/1383670320676050434","@type":"Researcher","foaf:name":[{"@value":"Kerstin Hulter-Åsberg"}],"jpcoar:affiliationName":[{"@value":"From the Department of Public Health and Clinical Medicine, University Hospital Umeå, Umeå (E.-L.G., B.S., P.-O.W., K.A.); Department of Clinical Neuroscience, Lund University, Lund (B.N.); Department of Medical Science, Uppsala University, Uppsala (A.T.); and Department of Medicine, Enköping Hospital, Enköping (K.H.-Å.), Sweden."}]},{"@id":"https://cir.nii.ac.jp/crid/1383670320676050435","@type":"Researcher","foaf:name":[{"@value":"Per-Olov Wester"}],"jpcoar:affiliationName":[{"@value":"From the Department of Public Health and Clinical Medicine, University Hospital Umeå, Umeå (E.-L.G., B.S., P.-O.W., K.A.); Department of Clinical Neuroscience, Lund University, Lund (B.N.); Department of Medical Science, Uppsala University, Uppsala (A.T.); and Department of Medicine, Enköping Hospital, Enköping (K.H.-Å.), Sweden."}]},{"@id":"https://cir.nii.ac.jp/crid/1383670320676050433","@type":"Researcher","foaf:name":[{"@value":"Kjell Asplund"}],"jpcoar:affiliationName":[{"@value":"From the Department of Public Health and Clinical Medicine, University Hospital Umeå, Umeå (E.-L.G., B.S., P.-O.W., K.A.); Department of Clinical Neuroscience, Lund University, Lund (B.N.); Department of Medical Science, Uppsala University, Uppsala (A.T.); and Department of Medicine, Enköping Hospital, Enköping (K.H.-Å.), Sweden."}]}],"publication":{"publicationIdentifier":[{"@type":"PISSN","@value":"00392499"},{"@type":"EISSN","@value":"15244628"},{"@type":"PISSN","@value":"http://id.crossref.org/issn/00392499"}],"prism:publicationName":[{"@value":"Stroke"}],"dc:publisher":[{"@value":"Ovid Technologies (Wolters Kluwer Health)"}],"prism:publicationDate":"2003-08","prism:volume":"34","prism:number":"8","prism:startingPage":"1970","prism:endingPage":"1975"},"reviewed":"false","url":[{"@id":"https://www.ahajournals.org/doi/full/10.1161/01.STR.0000083534.81284.C5"}],"createdAt":"2003-07-15","modifiedAt":"2024-05-12","relatedProduct":[{"@id":"https://cir.nii.ac.jp/crid/1360004236438633984","@type":"Article","resourceType":"学術雑誌論文(journal article)","relationType":["isReferencedBy"],"jpcoar:relatedTitle":[{"@value":"Sex Differences in Short-Term Outcomes After Acute Ischemic Stroke"}]},{"@id":"https://cir.nii.ac.jp/crid/1360013168740447232","@type":"Article","resourceType":"学術雑誌論文(journal article)","relationType":["isReferencedBy"],"jpcoar:relatedTitle":[{"@value":"Sex Differences in the Risk of 30-Day Death After Acute Ischemic Stroke"}]},{"@id":"https://cir.nii.ac.jp/crid/1360285708382566528","@type":"Article","resourceType":"学術雑誌論文(journal article)","relationType":["isReferencedBy"],"jpcoar:relatedTitle":[{"@value":"Lifetime risk of stroke and impact of hypertension: estimates from the adult health study in Hiroshima and Nagasaki"}]},{"@id":"https://cir.nii.ac.jp/crid/1360298754805898624","@type":"Article","resourceType":"学術雑誌論文(journal article)","relationType":["isReferencedBy"],"jpcoar:relatedTitle":[{"@value":"Modification of the effects of age on clinical outcomes through management of lifestyle-related factors in patients with acute ischemic stroke"}]},{"@id":"https://cir.nii.ac.jp/crid/1390001204239244800","@type":"Article","resourceType":"学術雑誌論文(journal article)","relationType":["isReferencedBy","isCitedBy"],"jpcoar:relatedTitle":[{"@language":"en","@value":"Gender and Family Composition Related to Discharge Destination and Length of Hospital Stay after Acute Stroke"}]},{"@id":"https://cir.nii.ac.jp/crid/1390282679616668928","@type":"Article","relationType":["isReferencedBy"],"jpcoar:relatedTitle":[{"@language":"en","@value":"Gender differences in locomotion activity after stroke"},{"@language":"ja","@value":"脳卒中患者における退院時移動機能の性差"}]},{"@id":"https://cir.nii.ac.jp/crid/1390282679848179712","@type":"Article","relationType":["isReferencedBy"],"jpcoar:relatedTitle":[{"@language":"en","@value":"Gender Differences in Long-term Functional Outcome after First-ever Ischemic Stroke"}]},{"@id":"https://cir.nii.ac.jp/crid/1571980075117841920","@type":"Article","relationType":["isCitedBy"],"jpcoar:relatedTitle":[{"@language":"en","@value":"Sex Differences in Stroke Survival : 10-Year Follow-up of the Copenhagen Stroke Study Cohort"}]}],"dataSourceIdentifier":[{"@type":"CROSSREF","@value":"10.1161/01.str.0000083534.81284.c5"},{"@type":"CIA","@value":"30022680149"},{"@type":"CROSSREF","@value":"10.2169/internalmedicine.48.1757_references_DOI_VeufZLX62ExS7ZAhNISDrkRvIen"},{"@type":"CROSSREF","@value":"10.1038/hr.2011.7_references_DOI_VeufZLX62ExS7ZAhNISDrkRvIen"},{"@type":"CROSSREF","@value":"10.3995/jstroke.29.727_references_DOI_VeufZLX62ExS7ZAhNISDrkRvIen"},{"@type":"CROSSREF","@value":"10.1016/j.jns.2023.120589_references_DOI_VeufZLX62ExS7ZAhNISDrkRvIen"},{"@type":"CROSSREF","@value":"10.1212/cpj.0000000000001087_references_DOI_VeufZLX62ExS7ZAhNISDrkRvIen"},{"@type":"CROSSREF","@value":"10.1161/strokeaha.114.006739_references_DOI_VeufZLX62ExS7ZAhNISDrkRvIen"},{"@type":"CROSSREF","@value":"10.1620/tjem.207.325_references_DOI_VeufZLX62ExS7ZAhNISDrkRvIen"}]}