Please use this identifier to cite or link to this item: http://hdl.handle.net/11434/1179
Title: Post stroke review: gender-specific influences on long-term outcome (a Sino-Australian study).
Epworth Authors: Olver, John
Fedele, Bianca
Gerraty, Richard
McKenzie, Dean
Other Authors: Ni, M.
Frayne, Judith
Bertram, Kelly
Zavala, Jorge
Keywords: Post Stroke Review
Individual Risk Factors
Predicting Long-Term Disability
Gender Bias
Gender-Specific Patterns of Stroke
Risk
Incidence
Symptom Presentation
Post Stroke Checklist
PSC
World Stroke Organization
Sequalae of Stroke
Patient Functioning
Pattern of Symptoms
Long-Term Congnitive Difficulties
Chi Squares
Odds Ratios
Confidence Interval
Mobility Limitations
Activities of Daily Living
ADL
Communication
Neurosciences Clinical Institute, Epworth HealthCare, Victoria, Australia
Issue Date: Jun-2017
Citation: Epworth Research Institute Research Week 2017; Poster 34: pp 58
Conference: Epworth Research Institute Research Week 2017
Conference Location: Epworth Research Institute, Victoria, Australia
Abstract: INTRODUCTION/BACKGROUND: The focus of post stroke review has shifted to identifying the significance of individual risk factors in predicting long-term disability. This study aimed to evaluate gender-specific patterns of stoke in terms of risk, incidence and symptom presentation. Overall, 30% of Australians report persistent disability after stroke. This continuing international, collaborative study aims to identify the frequency of long-term problems post stroke by gender within an Australian and Chinese population using the Post Stroke Checklist (PSC). METHOD: This study trials the PSC (endorsed by the World Stroke Organization) which identifies the incidence of 11 common sequelae after stroke with a focus on patient functioning and suggests appropriate courses of action. The study administered the PSC to 183 patients recruited from three acute stroke units at 6 months post stroke. RESULTS: Participants comprised 122 (66.7%) males and 61 (33.3%) females with a collective mean age of 64.73 years (SD = 13.8). Overall 82.5% patients reported at least one deficit at 6 months; with a higher incidence amongst females (86.9%) compared to males (80.3%), although non-significant. The pattern of symptoms between males and females however is similar. Females were more inclined to report long-term cognitive difficulties (59.0% compared to 36.9% of males) (chi square = 8.07, p<0.01, Odds ratio = 2.46, 95% Confidence Interval (CI) = 1.31 - 4.62) mobility limitations (50.8% to 36.95), pain (23.0% to 11.5% - trending towards significance; p = .070), difficulties performing activities of daily living (50.8% to 41.0%) and communication (29.5% to 23.8%). In the Chinese population, mobility limitation in females were markedly higher than the remainder of the group. CONCLUSION: In this study, the incidence of long-term sequelae of stroke had a gender bias. Females are over twice as likely to report long-term cognitive difficulties and had increased pain and difficulties with communication and performing activities of daily living.
URI: http://hdl.handle.net/11434/1179
Type: Conference Poster
Affiliated Organisations: Department of Neurology, Alfred Hospital, Victoria, Australia
School of Clinical Sciences, Monash University, Victoria, Australia
Nantong University, Jiangsu, China
Affiliated Hospital of Nantong University, Jiangsu, China
Department of Epidemiology and Preventative Medicine, Monash University, Victoria, Australia
Type of Clinical Study or Trial: Clinical Trial
Appears in Collections:Neurosciences
Health Informatics
Rehabilitation

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