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Sex differences in the evaluation and treatment of acute ischaemic stroke
journal contributionposted on 2023-05-19, 19:50 authored by Bushnell, C, Howard, VJ, Lisabeth, L, Caso, V, Seana GallSeana Gall, Kleindorfer, D, Chaturvedi, S, Madsen, TE, Demel, SL, Lee, S-J, Reeves, M
With the greater availability of treatments for acute ischaemic stroke, including advances in endovascular therapy, personalised assessment of patients before treatment is more important than ever. Women have a higher lifetime risk of stroke; therefore, reducing potential sex differences in the acute stroke setting is crucial for the provision of equitable and fast treatment. Evidence indicates sex differences in prevalence and types of non-traditional stroke symptoms or signs, prevalence of stroke mimics, and door-to-imaging times, but no substantial differences in use of emergency medical services, stroke knowledge, eligibility for or access to thrombolysis or thrombectomy, or outcomes after either therapy. Women presenting with stroke mimics or non-traditional stroke symptoms can be misdiagnosed, which can lead to inappropriate triage, and acute treatment delays. It is essential for health-care providers to recognise possible sex differences in stroke symptoms, signs, and mimics. Future studies focused on confounders that affect treatment and outcomes, such as age and pre-stroke function, are also needed.
Publication titleThe Lancet Neurology
Department/SchoolMenzies Institute for Medical Research
PublisherLancet Pub. Group
Place of publicationUnited Kingdom
Rights statement© 2018 Elsevier Ltd.