ArticleThe Permanente journal2018
Sex-Based Differences in Symptom Perception and Care-Seeking Behavior in Acute Stroke.
Article in The Permanente journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
What it found
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Who cites it
9 citing papers in PubMed, 19 citations in OpenAlex.
- Clinical characteristic of a Haitian stroke cohort and a scoping review of the literature of stroke among the Haitian population.Journal of clinical and translational research · 2023Article
- Sex differences in acute telestroke care: more to the story.Frontiers in neurology · 2023Article
- Factors associated with decision time to seek care in the face of ischemic stroke.Revista da Escola de Enfermagem da U S P · 2023Article
- Use of sport-related concussion information sources among parents of United States middle school children.Journal of sport and health science · 2022Article
- Differences in the pre-hospital management of women and men with stroke by emergency medical services in New South Wales.The Medical journal of Australia · 2022Article
- Call to Action for Enhanced Equity: Racial/Ethnic Diversity and Sex Differences in Stroke Symptoms.Frontiers in cardiovascular medicine · 2022Review
- Sex differences in the incidence and prevalence of young-onset Alzheimer's disease: A meta-analysis.International journal of geriatric psychiatry · 2022Review
- Gender and thrombolysis therapy in acute ischemic stroke patients with incidence of obesity.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2019Article
- Gender and thrombolysis therapy in stroke patients with incidence of dyslipidemia.BMC women's health · 2019Article
Corrections and comments
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Authors and funding
1 author at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
contextLack of early stroke recognition and delays in seeking emergency care by persons experiencing a stroke severely limit acute treatment options. Sparse and sometimes conflicting evidence suggests sex differences in care-seeking behaviors in stroke, stroke knowledge, perceptions of stroke symptoms, and the importance of physical location at the time of stroke and of having a witnessed stroke.
objectiveTo explore specific sex-based differences in stroke presentation and associated care-seeking behaviors.
designDescriptive study based on a convenience sample of 60 patients with stroke admitted to an academic medical center in Northern California.
main outcome measuresImpact of the patient's sex on 1) time to presentation (early [≤ 4.5 hours] vs late [> 4.5 hours]); 2) perception of symptoms and clinical signs; 3) stroke knowledge and decision making; 4) physical location at the time of stroke; and 5) bystander presence and assistance with decision making.
resultsThere was a discrepancy between how patients perceive symptoms and their medical findings on physical examination. Although most patients had at least one sign or symptom associated with nationally used stroke recognition acronyms, both sexes delayed care because they did not perceive their symptoms as urgent. Early-presenting men were more likely to have a higher stroke severity score at admission, receive alteplase, arrive by Emergency Medical Services, and have a witnessed stroke. Both early- and late-presenting women reported more nonfocal symptoms than did men.
conclusionThis study suggests that there are sex-based differences in symptom perception and care-seeking behavior in acute ischemic stroke.
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