Journal article

Sex Differences in Care and Long-Term Mortality after Stroke: Australian Stroke Clinical Registry

HT Phan, SL Gall, CL Blizzard, NA Lannin, AG Thrift, CS Anderson, J Kim, R Grimley, HC Castley, P Hand, DA Cadilhac

Journal of Women S Health | Published : 2019

Abstract

Introduction: There is some evidence that women receive evidence-based care less often than men, but how this influences long-term mortality after stroke is unclear. We explored this issue using data from a national stroke registry. Materials and Methods: Data are first-ever hospitalized strokes (2010-2014) in the Australian Stroke Clinical Registry from 39 hospitals linked to the national death registrations. Multilevel Poisson regression was used to estimate the women:men mortality rate ratio (MRR), with adjustment for sociodemographics, stroke severity, and processes of care (stroke unit care, intravenous thrombolysis, antihypertensive agent[s], and discharge care plan). Results: Among 14..

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University of Melbourne Researchers

Grants

Awarded by National Health and Medical Research Council


Awarded by National Heart Foundation of Australia Future Leader Fellowship


Awarded by NHMRC


Awarded by National Health and Medical Research Council of Australia


Funding Acknowledgements

We acknowledge Joyce Lim, Sabrina Small, Francis Kung, Karen Moss, Steven Street, and Renee Stojanovic from the AuSCR office who contributed to AuSCR operations during this study period. Staff from The George Institute, The Florey, and the Stroke Foundation are acknowledged for their contributions to patient follow-up. We also thank the hospital staff for their diligence regarding data collection for AuSCR. Hospital site investigators and data collectors between 2010 and 2014 and members of the management and steering committees are also acknowledged (see Supplementary Appendix SA1 for Collaborators and Contributors). During the study period, AuSCR was supported by grants from the National Health and Medical Research Council (NHMRC: 1034415), Allergan, Ipsen, Boehringer Ingelheim, Monash University, Queensland Health, the Stroke Society of Australasia, the Stroke Foundation, and consumer donations. H.T.P. is supported by a Merle Weaver Post-graduate Scholarship (University of Tasmania) and the Menzies Research Enhancement Program 2017-Stimulating National and International Collaborations (obtained by Dr. S.L.G.) to undertake the AuSCR analyses at Monash University. S.L.G. is supported by a National Heart Foundation of Australia Future Leader Fellowship (FLF 100446). The following authors received research fellowship funding from the NHMRC: D.A.C. (cofunded Heart Foundation: 1063761), A.G.T. (1042600), and C.S.A. (1081356).