TY - T1的性别差异在演讲中,中风的严重程度和管理在以人群为基础的神经学研究摩根富林明——乔-神经病学SP - 975 LP - 981 - 10.1212 / WNL。首页0 b013e3181d5a48f六世非盟- 74 - 12 - s . l . Gall AU - g .唐南AU - h . m .杜威AU - r . Macdonell AU - j . Sturm AU - a·吉利根盟诉Srikanth AU - a . g .节俭Y1 - 2010/03/23 UR - //www.ez-admanager.com/content/74/1首页2/975.abstract N2 -目标:女性比男性卒中后效果较差,因为急性管理的差异。我们检查了性别差异在演讲中,严重程度,住院治疗和早期死亡率在一群first-ever-in-a-lifetime中风患者。方法:数据收集从1996年5月1日,4月30日,1999年,在北东墨尔本中风发病率的研究。中风的症状,中风发作前的病史,住院调查,入院和出院药物,初始中风严重性,28天死亡率记录。并运用多元回归方法估计治疗的性别差异,调查,和28天死亡率。结果:共有1316名患者被包括在内。女性老年人(平均年龄76±0.6 vs 72±0.6, p & lt;0.01),更严重的中风(NIH卒中量表评分中位数6 vs 5 p & lt;0.01),更可能经历意识丧失(31%比23%,p = 0.003)和尿失禁(22%比11%,p = 0.01)高于男性。 Women were less often on lipid-lowering therapy on admission. Echocardiography and carotid investigations were less frequently performed in women due to greater age and stroke severity. Women had greater 28-day mortality (32% vs 21%, p < 0.001) and stroke severity (44% vs 36%, p = 0.01) than men, but adjustment for age, comorbidities, and stroke severity (for mortality only) completely attenuated these associations. Conclusion: Sex differences seen in this study were mostly explained by women's older age, greater comorbidity, and stroke severity. The reasons for differences according to age may need further examination. AF=atrial fibrillation; CI=confidence interval; CVD=cardiovascular disease; DM=diabetes mellitus; MI=myocardial infarction; NEMESIS=North East Melbourne Stroke Incidence Study; NIHSS=NIH Stroke Scale; OCSP=Oxfordshire Community Stroke Project; PR=prevalence ratio; PVD=peripheral vascular disease. ER -