2026-06-27T23:50:09Zhttps://docta.ucm.es/rest/oai/request
oai:docta.ucm.es:20.500.14352/47902025-08-22T12:59:35Zcom_20.500.14352_14col_20.500.14352_15
Docta Complutense author Miguel Yanes, José María De author López De Andrés, Ana Isabel author Jiménez García, Rodrigo author Hernández Barrera, Valentín author Miguel Díez, Javier De author Méndez Bailón, Manuel author Pérez Farinós, Napoleón author Muñoz Rivas, Nuria author Carabantes Alarcón, David author López Herranz, Marta 2023-06-16T14:21:14Z 2023-06-16T14:21:14Z 2021 Miguel Yanes, J. M., López De Andrés, A. I., Jiménez García, R. et al. «Incidence and Outcomes of Hemorrhagic Stroke among Adults in Spain (2016–2018) According to Sex: A Retrospective, Cohort, Observational, Propensity Score Matched Study». Journal of Clinical Medicine, vol. 10, n.o 16, agosto de 2021, p. 3753. https://doi.org/10.3390/jcm10163753. 2077-0383 10.3390/jcm10163753 https://hdl.handle.net/20.500.14352/4790 https://doi.org/10.3390/jcm10163753 https://www.mdpi.com/2077-0383/10/16/3753/htm Background: We aim to analyze sex differences in the incidence, clinical characteristics and in-hospital outcomes of hemorrhagic stroke (HS) in Spain (2016–2018) using the National Hospital Discharge Database. Methods: Retrospective, cohort, observational study. We estimated the incidence of HS in men and women. We analyzed comorbidity, treatments, procedures, and hospital outcomes. We matched each woman with a man by age, type of HS and medical conditions using propensity score matching. Results: HS was coded in 57,227 patients aged ≥18 years (44.3% women). Overall, men showed higher incidence rates (57.3/105 vs. 43.0/105; p < 0.001; IRR = 1.60; 95% CI: 1.38–1.83). Women suffered more subarachnoid hemorrhages (25.2% vs. 14.6%), whereas men more often had intracerebral hemorrhages (55.7% vs. 54.1%). In-hospital mortality (IHM) was higher for intracerebral hemorrhage in both men and women. Women underwent decompressive craniectomy less often than men (5.0% vs. 6.2%; p < 0.001). After matching, IHM among women was higher (29.0% vs. 23.7%; p < 0.001). Increments in age, comorbidity and use of anticoagulants and antiplatelet agents prior to hospitalization were associated were higher IHM, and decompressive craniectomy was associated with lower IHM in both sexes. After multivariable adjustment, women had higher IHM (OR = 1.23; 95% CI: 1.18–1.28). Conclusion: Men had higher incidence rates of HS than women. Women less often underwent decompressive craniectomy. IHM was higher among women admitted for HS than among men. eng Atribución 3.0 España Incidence and Outcomes of Hemorrhagic Stroke among Adults in Spain (2016–2018) According to Sex: A Retrospective, Cohort, Observational, Propensity Score Matched Study journal article URL https://docta.ucm.es/bitstreams/88121c53-bd03-434a-a456-ff0938810d02/download File MD5 b0afc3f350a6d9a559eb0ed1dea730c7 302719 application/pdf jcm-10-03753-v2.pdf