کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5574173 1403930 2017 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Sex Disparity in Stroke Quality of Care in a Community-Based Study
ترجمه فارسی عنوان
اختلال جنسی در کیفیت سکته مغزی در یک مطالعه مبتنی بر جامعه
کلمات کلیدی
سکته مغزی ایسکمیک، زنان، جنسیت، کیفیت،
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی مغز و اعصاب بالینی
چکیده انگلیسی

BackgroundStudies have suggested that women may receive lower stroke quality of care (QOC) than men, although population-based studies at nonacademic centers are limited. We investigated sex disparities in stroke QOC in the Brain Attack Surveillance in Corpus Christi Project.MethodsAll ischemic stroke patients admitted to 1 of 6 Nueces County nonacademic hospitals between February 2009 and June 2012 were prospectively identified. Data regarding compliance with 7 performance measures (PMs) were extracted from the medical records. Two overall quality metrics were calculated: a composite score of QOC representing the number of achieved PMs over all patient-appropriate PMs, and a binary measure of defect-free care. Multivariable models with generalized estimating equations assessed the association between sex and individual PMs and between sex and overall quality metrics.ResultsA total of 757 patients (51.6% female) were included in our analysis. After adjustment, women were less likely to receive deep vein thrombosis prophylaxis at 48 hours (relative risk [RR] = .945; 95% CI, .896-.996), an antithrombotic by 48 hours (RR = .952; 95% CI, .939-.965), and to be discharged on an antithrombotic (RR = .953; 95% CI, .925-.982). Women had a lower composite score (mean difference −.030, 95% CI −.057 to −.003) and were less likely to receive defect-free care than men (RR = .914; 95% CI, .843-.991).ConclusionsWomen had lower overall stroke QOC than men, although absolute differences in most individual PMs were small. Further investigation into the factors contributing to the sex disparity in guideline-concordant stroke care should be pursued.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Stroke and Cerebrovascular Diseases - Volume 26, Issue 8, August 2017, Pages 1781-1786
نویسندگان
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