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DC Field | Value | Language |
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dc.contributor.author | Anderson C.S. | en |
dc.contributor.author | Cadilhac D.A. | en |
dc.contributor.author | Kilkenny M.F. | en |
dc.contributor.author | Castley H.C. | en |
dc.contributor.author | Grimley R. | en |
dc.contributor.author | Lannin N.A. | en |
dc.contributor.author | Thrift A.G. | en |
dc.contributor.author | Kim J. | en |
dc.contributor.author | Phan H.T. | en |
dc.contributor.author | Gall S. | en |
dc.contributor.author | Blizzard C.L. | en |
dc.date.accessioned | 2021-05-14T09:00:17Z | en |
dc.date.available | 2021-05-14T09:00:17Z | en |
dc.date.copyright | 2021 | en |
dc.date.created | 20210318 | en |
dc.date.issued | 2021-03-18 | en |
dc.identifier.citation | Journal of Women's Health. 30 (3) (pp 314-323), 2021. Date of Publication: March 2021. | en |
dc.identifier.issn | 1540-9996 | en |
dc.identifier.uri | https://repository.monashhealth.org/monashhealthjspui/handle/1/26947 | en |
dc.description.abstract | Background: We examined sex differences in cause of death and cause-specific excess mortality after stroke. Material(s) and Method(s): First-ever strokes (2010-2013; 35 hospitals) participating in the Australian Stroke Clinical Registry were linked to national death registrations and other administrative datasets. One-year cause-specific mortality was categorized as stroke, ischemic heart disease, other cardiovascular disease (CVD; e.g., hypertension), cancer, and other. Specific hazard ratios (sHRs) of death for women compared to men were estimated using competing risk models, with adjustment for factors differing by sex (e.g., age and stroke severity). Age- and sex-specific mortality rates expected in the general population were derived from national data. Standardized mortality ratios (SMRs; observed/expected deaths) were estimated for cause-specific mortality by sex after age standardization. Result(s): Among 9,441 cases (46% women), women were 7 years older than men, had more severe strokes, and received similar patterns of suboptimal secondary prevention medications at discharge. Women had greater mortality associated with stroke (sHRunadjusted 1.65) and other CVD (sHRunadjusted 1.65), which was related to age and stroke severity rather than other factors. Compared to population norms, those surviving to 30 days had eight-fold increased mortality from stroke (primary/recurrent) events irrespective of sex (SMRage-standardised women 8.8; men 8.3). Excess mortality from other CVD was greater in women (SMRage-standardised 3.6 vs. men 2.8; p = 0.026). Conclusion(s): Cause-specific mortality after first-ever stroke differs by sex. The greater death rate attributed to stroke/other CVD in women was mostly explained by age and stroke severity. Greater implementation of secondary stroke prevention is relevant to both sexes.© Copyright 2021, Mary Ann Liebert, Inc., publishers 2021. | en |
dc.language | en | en |
dc.language | English | en |
dc.publisher | Mary Ann Liebert Inc. | en |
dc.relation.ispartof | Journal of Women's Health | en |
dc.title | Sex differences in causes of death after stroke: Evidence from a national, prospective registry. | en |
dc.type | Article | en |
dc.identifier.doi | http://monash.idm.oclc.org/login?url= | - |
dc.identifier.doi | http://monash.idm.oclc.org/login?url=http://dx.doi.org/10.1089/jwh.2020.8391 | en |
dc.publisher.place | United States | en |
dc.identifier.pubmedid | 33227218 [http://www.ncbi.nlm.nih.gov/pubmed/?term=33227218] | en |
dc.identifier.source | 634441608 | en |
dc.identifier.institution | (Phan, Gall, Blizzard) Menzies Institute for Medical Research, University of Tasmania, Hobart, Australia (Phan) Department of Public Health Management, Pham Ngoc Thach University of Medicine, Ho Chi Minh, Vietnam (Phan, Thrift, Kim, Grimley, Kilkenny, Cadilhac) Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Melbourne, Australia (Lannin) Department of Neuroscience, Central Clinical School, Monash University, Melbourne, Australia (Lannin) Alfred Health, Melbourne, Australia (Anderson) Faculty of Medicine, The George Institute for Global Health, The University of New South Wales, Sydney, Australia (Kim, Kilkenny, Cadilhac) Stroke Theme, The Florey Institute of Neuroscience and Mental Health, Heidelberg, VIC, Australia (Grimley) Sunshine Coast Clinical School, University of Queensland, Birtinya, Australia (Castley) Neurology Department, Royal Hobart Hospital, Hobart, Australia | en |
dc.description.address | D.A. Cadilhac, Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Level 3 Hudson Institute Building, 27-31 Wright Street, Clayton, Melbourne, VIC 3168, Australia. E-mail: dominique.cadilhac@monash.edu | en |
dc.description.publicationstatus | Embase | en |
dc.rights.statement | Copyright 2021 Elsevier B.V., All rights reserved. | en |
dc.subect.keywords | care cause of death excess mortality sex difference stroke | en |
dc.identifier.authoremail | Cadilhac D.A.; dominique.cadilhac@monash.edu | en |
dc.identifier.affiliationext | (Phan, Gall, Blizzard) Menzies Institute for Medical Research, University of Tasmania, Hobart, Australia | - |
dc.identifier.affiliationext | (Phan) Department of Public Health Management, Pham Ngoc Thach University of Medicine, Ho Chi Minh, Vietnam | - |
dc.identifier.affiliationext | (Lannin) Department of Neuroscience, Central Clinical School, Monash University, Melbourne, Australia | - |
dc.identifier.affiliationext | (Lannin) Alfred Health, Melbourne, Australia | - |
dc.identifier.affiliationext | (Anderson) Faculty of Medicine, The George Institute for Global Health, The University of New South Wales, Sydney, Australia | - |
dc.identifier.affiliationext | (Kim, Kilkenny, Cadilhac) Stroke Theme, The Florey Institute of Neuroscience and Mental Health, Heidelberg, VIC, Australia | - |
dc.identifier.affiliationext | (Grimley) Sunshine Coast Clinical School, University of Queensland, Birtinya, Australia | - |
dc.identifier.affiliationext | (Castley) Neurology Department, Royal Hobart Hospital, Hobart, Australia | - |
dc.identifier.affiliationmh | (Phan, Thrift, Kim, Grimley, Kilkenny, Cadilhac) Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Melbourne, Australia | - |
item.cerifentitytype | Publications | - |
item.fulltext | No Fulltext | - |
item.openairecristype | http://purl.org/coar/resource_type/c_18cf | - |
item.grantfulltext | none | - |
item.openairetype | Article | - |
crisitem.author.dept | Infection Prevention and Epidemiology | - |
Appears in Collections: | Articles |
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