Publication:
Effect of COPD on the Hospital Outcomes and Mortality among Hemorrhagic Stroke Patients. Sex Differences in a Population-Based Study

dc.contributor.authorMiguel Díez, Javier de
dc.contributor.authorLopez Herranz, Marta
dc.contributor.authorJiménez García, Rodrigo
dc.contributor.authorHernández Barrera, Valentín
dc.contributor.authorJiménez Trujillo, Isabel
dc.contributor.authorMiguel Yanes, Jose M. de
dc.contributor.authorLópez de Andrés, Ana
dc.date.accessioned2023-06-17T08:24:05Z
dc.date.available2023-06-17T08:24:05Z
dc.date.issued2021-06-04
dc.description.abstract(1) Background: It is not well known whether there is an association between COPD and hemorrhagic stroke (HS). We aim to analyze the incidence, clinical characteristics, procedures, and outcomes of HS in patients with and without COPD and to assess sex differences. Secondly, to identify factors associated with in-hospital mortality (IHM). (2) Methods: Patients aged ≥40 years hospitalized with HS included in the Spanish National Hospital Discharge Database (2016–2018) were analyzed. Propensity score matching (PSM) was used to compare patients according to sex and COPD status. (3) Results: We included 55,615 patients (44.29% women). Among men with COPD the HS adjusted incidence was higher (IRR 1.31; 95% CI 1.24–1.57) than among non-COPD men. COPD men had higher adjusted incidence of HS than COPD women (IRR 1.87; 95% CI 1.85–1.89). After matching, COPD men had a higher IHM (29.96% vs. 27.46%; p = 0.032) than non-COPD men. Decompressive craniectomy was more frequently conducted among COPD men than COPD women (6.74% vs. 4.54%; p = 0.014). IHM increased with age and atrial fibrillation, while decompressive craniectomy reduced IHM. (4) Conclusions: COPD men had higher incidence and IHM of HS than men without COPD. COPD men had higher incidence of HS than COPD women. Decompressive craniectomy was more frequently conducted in COPD men than COPD women and this procedure was associated to better survival.
dc.description.departmentDepto. de Enfermería
dc.description.departmentDepto. de Salud Pública y Materno - Infantil
dc.description.facultyFac. de Enfermería, Fisioterapia y Podología
dc.description.facultyFac. de Medicina
dc.description.refereedTRUE
dc.description.sponsorshipSociedad Española de Neumología y Cirugía Torácica (SEPAR)
dc.description.statuspub
dc.eprint.idhttps://eprints.ucm.es/id/eprint/71316
dc.identifier.doi10.3390/jcm10112491
dc.identifier.issn2077-0383
dc.identifier.officialurlhttps://doi.org/10.3390/jcm10112491
dc.identifier.relatedurlhttps://www.mdpi.com/2077-0383/10/11/2491/htm
dc.identifier.urihttps://hdl.handle.net/20.500.14352/6974
dc.issue.number11
dc.journal.titleJournal of Clinical Medicine
dc.language.isoeng
dc.page.initial2491
dc.publisherMPDI
dc.relation.projectID733
dc.rightsAtribución 3.0 España
dc.rights.accessRightsopen access
dc.rights.urihttps://creativecommons.org/licenses/by/3.0/es/
dc.subject.keywordhemorrhagic stroke
dc.subject.keywordCOPD
dc.subject.keywordsex-differences
dc.subject.keywordincidence
dc.subject.keywordin-hospital mortality
dc.subject.ucmCirugía
dc.subject.ucmNeumología
dc.subject.ucmNeurociencias (Medicina)
dc.subject.unesco3213 Cirugía
dc.subject.unesco3205.08 Enfermedades Pulmonares
dc.subject.unesco2490 Neurociencias
dc.titleEffect of COPD on the Hospital Outcomes and Mortality among Hemorrhagic Stroke Patients. Sex Differences in a Population-Based Study
dc.typejournal article
dc.volume.number10
dspace.entity.typePublication
relation.isAuthorOfPublication5db1f21a-0369-4191-96f5-b640ed0f3dde
relation.isAuthorOfPublication.latestForDiscovery5db1f21a-0369-4191-96f5-b640ed0f3dde
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