Impaired sexual activity in young ischaemic stroke patients: an observational study

Bugnicourt, Jean‐Marc; Hamy, O.; Canaple, Sandrine; Lamy, Chantal; Legrand, Christine

doi:10.1111/ene.12277

Cited by 33 publications

(31 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Further understanding of the role of multiple medications, as well as other contributing factors such as the particular cardiac diagnosis and comorbidities merits further study. There is some indication that patients with heart failure or stroke may have greater sexual side effects and in multiple drug classifications (Bugnicourt et al, 2014;Zeighami Mohammadi, Shahparian, Fahidy, & Fallah, 2012).…”

Section: Discussionmentioning

confidence: 99%

Medication use and predictors of sexual activity in men and women with CVD

Steinke

Hill

Mosack

2016

Journal of the American Association of Nurse Practitioners

View full text Add to dashboard Cite

Purpose To examine the influence of cardiac and noncardiac medications on sexual activity by drug classification and generation of the drug, among men and women with cardiovascular disease. Data sources This study was a subanalysis (n = 224) of survey data from a cross‐sectional sample of 336 cardiac patients. Self‐reported medications were categorized by generic drug name, classification, and subclass and/or generation of the drug. Sexual activity was the presence or absence of current sexual activity in the last 2 months. Conclusions Patients taking generation one beta blockers, particularly men; diuretics as a class; and loop diuretics, were significantly less likely to be sexually active, with diuretics negatively influencing sexual activity in women, but not men. Certain antidepressant medications positively influenced sexual function, particularly for women. Nearly 20% of the variances in sexual activity were explained by younger age, fewer number of medications, higher education, and having a sexual partner. Implications for practice A new finding meriting further study was that loop diuretics negatively impacted sexual activity, particularly for women; and further studies of women overall are clearly needed. Advance practice nurses play an important role in evaluating medications, proactively choosing drugs within a class or subclass less likely to cause sexual problems, and in promoting sexual quality of life of cardiac patients.

show abstract

Section: Discussionmentioning

confidence: 99%

Medication use and predictors of sexual activity in men and women with CVD

Steinke

Hill

Mosack

2016

Journal of the American Association of Nurse Practitioners

View full text Add to dashboard Cite

show abstract

“…The latter is defined as a decline in libido in both genders, erectile dysfunction and poor ejaculation in men and diminished lubrication and orgasm in women3, 4 ) . Post-stroke patients reported a marked decline in all the measured sexual functions, ie, libido, coital frequency, erectile and orgastic ability, and vaginal lubrication, as well as in their sexual satisfaction.…”

Section: Introductionmentioning

confidence: 99%

Interrelationship between the general characteristics of Korean stroke patients and the variables of the sexual functions: random forest and boosting algorithm

2017

View full text Add to dashboard Cite

[Purpose] The purpose of this study is to examine patient preferences for counseling related to sexuality post-stroke in Korea. [Subjects and Methods] A survey was conducted on 200 stroke patients. Among the 200 submitted questionnaires, 156 responded but 147 cases are available. The questionnaire is composed of 27 questions such as 8 independent variables related to the general characteristics of the patients, 7 dependent variables in conjunction with sexual intercourse and changed muscle tone, 6 questions regarding to changed sexual function, and 6 questions about a changed motor and a sensory function after stroke. To analyze the factors related to a sexual function after a stroke, we used the random forest, boosting algorithm and MANOVA. [Results] The most important variable in variable group 1 is VAR1, and then VAR22, VAR23, VAR26, VAR27, VAR25, VAR21 and VAR 24 respectively. The most important variable in variable group 2 is VAR22, and then VAR26, VAR23, VAR25, VAR1, VAR27, VAR21 and VAR 24. Finally, for variable group 3, VAR1 has the most important percentage, and we have the order as VAR26, VAR23, VAR27, VAR22, VAR25, VAR21 and VAR 24 among the rest of variables. The result of variable importance in boosting algorithm is somehow the same as that of random forest. [Conclusion] As a result of our analysis, we figured out that duration of illness, age, and education level are important factors of sexual functions for Korean Stroke patients.

show abstract

“…The current need for brain imaging prior to thrombolysis limits the ability to deliver thrombolysis in the community setting, but novel imaging facilities may overcome this and enable more rapid treatment. Outcomes after stroke are also an important aspect of the value of new treatments . Predicting outcome more accurately enables patient and family to prepare for life post‐stroke and healthcare facilities to be put in place for support and rehabilitation.…”

mentioning

confidence: 99%