Sex differences in quality of life after stroke were explained by patient factors, not clinical care: evidence from the Australian Stroke Clinical Registry
| Autor: | Christopher L. Blizzard, Helen Castley, Amanda G. Thrift, Joosup Kim, Hoang T Phan, Rohan Grimley, Monique F Kilkenny, Dominique A Cadilhac, Natasha A. Lannin, Seana L. Gall, Craig S. Anderson |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Proxy (climate) 03 medical and health sciences 0302 clinical medicine Internal medicine Surveys and Questionnaires Epidemiology Medicine Humans Clinical registry 030212 general & internal medicine Registries Clinical care Aged Sex Characteristics business.industry Confounding Australia Confidence interval Quantile regression Stroke Neurology Quality of Life Female Neurology (clinical) business 030217 neurology & neurosurgery Cohort study |
| Zdroj: | European journal of neurologyReferences. 28(2) |
| ISSN: | 1468-1331 |
| Popis: | BACKGROUND AND PURPOSE Women may receive stroke care less often than men. We examined the contribution of clinical care on sex differences and health-related quality of life (HRQoL) after stroke. METHODS We included first-ever strokes registered in the Australian Stroke Clinical Registry (2010-2014) with HRQoL assessed between 90 and 180 days after onset (EQ-5D-3L instrument) that were linked to hospital administrative data (up to 2013). Study factors included sociodemographics, comorbidities, walking ability on admission (stroke severity proxy) and clinical care (e.g. stroke unit care). Responses to the EQ-5D-3L were transformed into a total utility value (-0.516 'worse than death' to 1 'best' health). Quantile regression models, adjusted for confounding factors, were used to determine median differences (MD) in utility scores by sex. RESULTS Approximately 60% (6852/11 418) of stroke survivors had an EQ-5D-3L assessment (median 139 days; 44% female). Compared with men, women were older (median age 77.1 years vs. men 71.2 years) and fewer could walk on admission (37.9% vs. men 46.1%, P |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text