Gender differences in risk factors, clinical presentation, and outcome of stroke: A secondary analysis of previous hospital-based study in Qatar

Khan, Fahmi Yousef; Ibrahim, Abdulsalam Saif

doi:10.4103/ljms.ljms_42_17

Cited by 12 publications

(36 citation statements)

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“…Mean age of the study population was 60 ± 8.5 years. These results were comparable to the study done by Fahmi Yousef Khan ET al 8 who evaluated 270 patients with acute stroke with 198 (73%) male and 72 (27%) female. A total of 217 (80.4%) patients had acute ischemic stroke (male 157 and female 60) whereas 88.7% (47 patients) had intracerebral haemorrhage (35 males and 12 females), and subarachnoid haemorrhage occurred in 11.3% (6 patients; 5 males and 1 female).…”

Section: Discussionsupporting

confidence: 89%

Acute Kidney Injury in Acute Stroke in Relation to Immediate Outcome- A Hospital Based Study

Bhattacharjee¹,

Paul²,

Roy³

et al. 2020

jebmh

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BACKGROUND Acute stroke is the second leading cause of death. The association of renal function and stroke is poorly understood. The present study is focused at assessing renal functional status in acute stroke and its prognostic significance on final outcome. METHODS Patients presenting with acute stroke numbering 200 were included for study duration of 1 year. Serum creatinine and 24-hour urine output were monitored after admission, at 24 and 48 hours and were evaluated during the in hospital stay. AKI has been defined according to KDIGO criteria. RESULTS The mean age of study population was 60±8.5 years. The overall incidence of AKI in stroke was 17% and commoner in subjects with haemorrhagic stroke. Patients with AKI had longer hospital stay and were associated with higher risk of mortality as compared to those who did not develop AKI. CONCLUSIONS Incidence of AKI complicating acute stroke is associated with increased mortality and adverse outcome. This highlights the need for early diagnosis, better risk stratification and preparedness for need for long-term care in this vulnerable population.

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Section: Discussionsupporting

confidence: 89%

Acute Kidney Injury in Acute Stroke in Relation to Immediate Outcome- A Hospital Based Study

Bhattacharjee¹,

Paul²,

Roy³

et al. 2020

jebmh

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“…The combination of hypertension, diabetes and dyslipidemia was most common in the third of patients with three concomitant risk factors. Diabetes was significantly more prevalent among women than men (76% vs 51%, P = 0.0001) and in native Qatari patients than expatriates (67% vs 49%, P = 0.003), whilst hypertension, smoking and alcohol consumption were found to be more prevalent in males with ischaemic stroke than in females in Khan’s 34 post hoc analysis.…”

Section: Conventional Risk Factorsmentioning

confidence: 93%

Current status of stroke in Qatar: Including data from the BRAINS study

Jallow

Hail

Han

et al. 2019

JRSM Cardiovascular Disease

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Background Qatar is located on the north-eastern coast of the Arabian Peninsula. Qatari natives account for less than 15% of the population while the largest migrant group comprising 60% derives from South Asia. Despite projections that stroke burden in Qatar will increase with population ageing, epidemiological studies focusing on stroke in Qatar are relatively scarce. Method We reviewed the available epidemiological publications relating to Qatar. In addition, we have added to this knowledge by incorporating Qatari data from the on-going Bio-Repository of DNA in Stroke, an independent multinational database of stroke patients. Results Qatar has low reported incidence and mortality rates of 58 and 9.17 per 100,000 per year, respectively, which may be explained by its middle-aged migrant worker majority population. Correspondingly, South Asian migrants in Qatar suffered younger strokes than Qatari natives (48.7 vs 63.4 years, P < 0.001). Among the most common risk factors identified in stroke patients were hypertension (77.9%), diabetes (43.8%) and hypercholesterolemia (28.5%). Ischaemic stroke was the most frequent subtype amongst migrant South Asians (71.1%). The majority of stroke cases had computed tomography and/or magnetic resonance imaging scans, but only 11.1% of ischaemic strokes were thrombolysed. Qataris on one-year follow up were more often found to have died (6.5% vs 0.3%) and had further stroke/transient ischaemic attack events (17.4% vs 6.4%, P = 0.009) compared to South Asians. Conclusion The burden of stroke is increasing in Qatar, and considerable disparities are observed between the native and migrant populations which likely will require different approaches to management by its healthcare system.

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“…The differences in stroke symptoms between sexes may be the reasons for delays and difficulties in timely diagnosis. A prospective hospital-based study conducted in Qatar, performed in 217 patients with ischemic stroke (mean age of 57.2 ± 13.3 years), demonstrated significant differences between sexes in presenting symptoms of AIS [ 59 ]. Dysarthria, swallowing deficits, and gait imbalance were significantly more common in men.…”

Section: Clinical Presentation Of Ais According To Patients’ Sexmentioning

confidence: 99%

“…Dysarthria, swallowing deficits, and gait imbalance were significantly more common in men. Headache as a stroke symptom was especially high in women (68% vs. 31% in men) [ 59 ]. Limb paralysis/weakness, convulsions, and coma concerned both sexes equally.…”

Section: Clinical Presentation Of Ais According To Patients’ Sexmentioning

confidence: 99%

“…Limb paralysis/weakness, convulsions, and coma concerned both sexes equally. Similar to paediatric stroke, posterior circulation stroke was found to be significantly frequent in male patients (24.8% vs. 1.6% in women), whereas partial anterior circulation stroke syndrome was more common in female patients (35% vs. 20.4% in men) [ 59 ]. Similarly, a multicentre prospective study across Europe on patients aged 18–55 years revealed men to have posterior circulation stroke more frequently [ 60 ].…”

Section: Clinical Presentation Of Ais According To Patients’ Sexmentioning

confidence: 99%

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The Impact of Sex on Arterial Ischemic Stroke in Young Patients: From Stroke Occurrence to Poststroke Consequences

Sarecka-Hujar

Kopyta

2021

Children

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The male sex has been suggested to predominate in paediatric patients with arterial ischemic stroke (AIS), especially in newborns. The explanation for this phenomenon remains unsatisfactory since it focuses on the analysis of the potential relationship with trauma and arterial dissection. In turn, in some populations of young adults, men suffer from AIS more frequently than women, which may be related to the protective role of oestrogen. On the other hand, certain data indicate that women dominate over men. Some of the disparities in the frequencies of particular symptoms of AIS and poststroke consequences in both children and young adults have been suggested; however, data are scarce. Unfortunately, the low number of studies on the subject does not allow certain conclusions to be drawn. For adults, more data are available for patients aged over 60 years, the results of which are more obvious. The present literature review aimed to discuss available data on the prevalence of AIS, its clinical presentations, and poststroke consequences in regard to the sex of young patients. We considered young patients to be children from birth up to the age of 19 years of life and young adults to be individuals up to the age of 55 years. The role of sex hormones in AIS and possible gender differences in genetic risk factors for AIS were also discussed briefly.

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Gender differences in risk factors, clinical presentation, and outcome of stroke: A secondary analysis of previous hospital-based study in Qatar

Cited by 12 publications

References 0 publications

Acute Kidney Injury in Acute Stroke in Relation to Immediate Outcome- A Hospital Based Study

Acute Kidney Injury in Acute Stroke in Relation to Immediate Outcome- A Hospital Based Study

Current status of stroke in Qatar: Including data from the BRAINS study

The Impact of Sex on Arterial Ischemic Stroke in Young Patients: From Stroke Occurrence to Poststroke Consequences

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