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Updated: May 26, 2026
09:21
Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
Published on: January 18, 2018
Gender based differences in acute stroke care in Michigan hospitals
Nandakumar Nagaraja1, Pratik Bhattacharya, Flicia Mada
1Department of Neurology and Stroke Program, Wayne State University School of Medicine, Detroit, MI, USA.
Journal of the Neurological Sciences
|December 14, 2011
Summary
Men received more aggressive acute stroke care and had better outcomes than women, even after adjusting for age. Joint Commission certification improved thrombolytic consideration more than gender.
Area of Science:
- Neurology
- Public Health
- Health Services Research
Background:
- Investigated gender disparities in acute stroke care.
- Compared care in Joint Commission (JC) certified and noncertified hospitals.
Purpose of the Study:
- To examine gender-based differences in acute stroke care.
- To assess if these differences vary between JC-certified and non-certified hospitals.
Main Methods:
- Reviewed 602 ischemic stroke patient charts.
- Analyzed prehospital factors, emergency department evaluation, in-hospital care, discharge outcomes, and secondary prevention.
Main Results:
- Men more frequently used self-transportation; women arrived more by ambulance.
- No significant gender difference in thrombolytic evaluation or t-PA administration.
- Men had milder symptoms, more interventional procedures, and better discharge outcomes.
- JC-certified centers showed higher thrombolytic evaluation rates.
Conclusions:
- Significant gender differences in acute stroke care persist, even after age adjustment.
- Men received more aggressive care and tended towards better outcomes despite milder symptoms.
- JC certification was a stronger predictor for thrombolytic consideration than gender.
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