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Are there gender differences in functional outcome after stroke?

T B Wyller¹, K M Sødring, U Sveen

¹Department of Geriatric Medicine, Ullevaal University Hospital, Oslo, Norway.

Clinical Rehabilitation

|May 1, 1997

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Men recover better from stroke than women. This study found men had better motor, cognitive, and daily living function, and were less likely to need nursing home care after stroke.

Area of Science:

Neurology
Geriatrics
Rehabilitation Medicine

Background:

Stroke is a leading cause of long-term disability.
Previous studies have suggested potential gender differences in stroke outcomes, but further investigation is warranted.

Purpose of the Study:

To investigate gender-based differences in functional recovery following stroke.
To analyze disparities in motor, cognitive, and activities of daily living (ADL) outcomes between male and female stroke survivors.

Main Methods:

Prospective cohort study of 165 hospitalized stroke patients.
Functional assessments including motor, cognitive, and ADL (Barthel Index) were conducted in subacute and one-year follow-up phases.
Nursing-home residency was recorded at the one-year mark.

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Main Results:

Men demonstrated significantly better functional outcomes across motor, cognitive, and ADL measures compared to women.
Men had a 3.1 to 3.3 times higher odds of achieving better Barthel Index scores.
Women faced a 6.3 times higher likelihood of permanent nursing-home residency one year post-stroke.

Conclusions:

Stroke appears to have a more severe functional impact on women than on men.
These findings highlight a critical gender disparity in stroke recovery and long-term care needs.