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This study reveals significant gender disparities in stroke risk factors and outcomes, with women experiencing more severe strokes. However, acute stroke care and revascularization therapies were administered equally to both men and women.

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Area of Science:

  • Neurology
  • Public Health
  • Epidemiology

Background:

  • Existing research on gender differences in stroke presents diverse findings.
  • Further investigation is needed across various global populations.
  • This study focuses on stroke variations by gender within a developing country context.

Purpose of the Study:

  • To investigate and compare stroke incidence, risk factors, severity, and outcomes between men and women.
  • To analyze gender-specific differences in the quality of stroke care and treatment.
  • To identify potential disparities in acute stroke management based on gender.

Main Methods:

  • A retrospective, observational, cross-sectional study design was employed.
  • Data were collected from a patient registry.
  • Comparisons between male and female stroke patients included age, risk factors, stroke severity, quality of services, and outcomes.

Main Results:

  • The study analyzed data from 4620 patients.
  • Men were more numerous than women; however, women were older and presented with higher prevalence of hypertension and atrial fibrillation.
  • Women experienced more severe strokes and poorer outcomes, yet received prompt and frequent revascularization therapies similarly to men.

Conclusions:

  • Significant gender differences were observed in stroke risk factors and severity.
  • No significant disparities in the promptness or frequency of acute stroke services were detected between genders.
  • Within women, age-related differences in acute ischemic stroke subtypes and management were identified, favoring older age groups.