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Southern medical journal · Mar 2021
Sex Differences in Stroke Hospitalization Incidence, 30-Day Mortality, and Readmission in a Regional Medical Center in the Southwestern United States.
- Jeff A Dennis, Yan Zhang, Fangyuan Zhang, De La Cruz Noah N From the Department of Public Health and Department of Family and Community Medicine, Texas Tech University Health Sciences Center, Lubbock, Department , Greg Hannabas, and Nan Mi.
- From the Department of Public Health and Department of Family and Community Medicine, Texas Tech University Health Sciences Center, Lubbock, Department of Mathematics, Texas Tech University, Lubbock, Harris College of Nursing and Health Sciences, Texas Christian University, Ft Worth, and the Department of Mathematics, Western Michigan University, Kalamazoo.
- South. Med. J. 2021 Mar 1; 114 (3): 174-179.
ObjectivesThis study explores sex differences in ischemic stroke hospitalization incidence, 30-day mortality, and 30-day readmission in a southwestern US medical center.MethodsIschemic stroke admissions in a regional medical center in the southwestern United States were obtained for a 6.5-year time frame (N = 1968). Logistic regression models examine the adjusted effects of sex on 30-day mortality and 30-day readmission outcomes among individuals hospitalized for ischemic stroke.ResultsFindings confirm that although women experience higher mortality than men (9.1% vs 6.7%), the sex disparity in mortality is explained by the age distribution of strokes. Women experience far more strokes and deaths because of stroke at older ages. No differences in principal procedure or 30-day readmission emerged.ConclusionsMen experienced higher stroke hospitalization incidence, although women exhibited higher 30-day mortality. Age composition explained sex differences in mortality, but higher male stroke hospitalization incidence represents a larger public health issue that suggests the need for behavioral change at the population level. No meaningful sex differences emerged in treatment, mortality, or readmission.
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