Evidence map›Paper›PMID 37231687›Full record

ArticleEuropean stroke journal2023

Sex and gender differences in acute stroke care: metrics, access to treatment and outcome. A territorial analysis of the Stroke Code System of Catalonia.

Yolanda Silva, Laura Sánchez-Cirera, Mikel Terceño, Laura Dorado, Adrián Valls, Marina Martínez, Sònia Abilleira, Marta Rubiera, Helena Quesada, Laura Llull and 29 more

Open access · bronzeAbstract read
In one paragraph

Article in European stroke journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
3.9field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 18 citations in OpenAlex.

  1. Observational
  2. Cryptogenic stroke in women: impact of insertable cardiac monitoring in the STROKEWISE cohort study.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

39 authors at 20 institutions in 1 country.

Yolanda SilvaHospital Universitari Doctor Josep Trueta, Spain.ORCID 0000-0002-9450-8918
Laura Sánchez-CireraHospital Universitari Doctor Josep Trueta, Spain.
Mikel TerceñoHospital Universitari Doctor Josep Trueta, Spain.ORCID 0000-0001-5532-5329
Laura DoradoHospital Universitari Germans Trias i Pujol, Badalona, Spain.
Adrián VallsHospital Universitari Germans Trias i Pujol, Badalona, Spain.ORCID 0000-0002-4831-1276
Marina MartínezHospital Universitari Germans Trias i Pujol, Badalona, Spain.
Sònia AbilleiraInstitut Català de la Salut (ICS), Barcelona, Spain.ORCID 0000-0002-5587-128X
Marta RubieraHospital Universitari Vall d'Hebron, Barcelona, Spain.ORCID 0000-0001-8100-9477
Helena QuesadaHospital Universitari de Bellvitge, L'Hospitalet de llobregat, Spain.
Laura LlullHospital Clínic of Barcelona, Barcelona, Spain.
Ana Rodríguez-CampelloHospital del Mar, Barcelona, Spain.
Joan Martí-FàbregasHospital de la Santa Creu i Sant Pau, Barcelona, Spain.ORCID 0000-0001-9229-8649
Laia SeróHospital Universitari Joan XXIII, Tarragona, Spain.
Francisco PurroyHospital Universitari Arnau de Vilanova, Lleida, Spain.
Iago PayoHospital Verge de la Cinta, Tortosa, Spain.
Sònia GarcíaComplex Hospitalari Moisès Broggi, Sant Joan Despí, Spain.
David CánovasHospital Parc Taulí, Sabadell, Spain.
Jurek KrupinskiHospital Univeritari Mutua de Terrassa, Terrassa, Spain.
Natalia MasHospital Altahia, Manresa, Spain.
Ernest PalomerasHospital de Mataró, Barcelona, Spain.
Dolores CochoHospital de Granollers, Granollers, Spain.
Maria Àngels FontConsorci Hospitalari de Vic, Vic, Barcelona, Spain.
Esther CatenaConsorci Sanitari Alt Penedès-Garraf, Vilafranca del Penedès, Spain.
Elsa PuiggròsHospital del Vendrell, El Vendrell, Spain.
Claudia PedrozaFundació Sant Hospital, La Seu d'Urgell, Spain.
Gemma MarínHospital Comarcal del Pallars, Tremp, Spain.
Dolors CarriónHospital de Mòra d'Ebre, Mòra d'Ebre, Spain.
Xavier CostaHospital de Figueres, Figueres, Spain.
Mari Cruz AlmendrosHospital de Palamós, Palamós, Spain.
Ivan TorresHospital de la Cerdanya, Puigcerdà, Spain.
Carla ColomHospital d'Igualada, Igualada, Spain.
John Alejandro VelasquezHospital d'Olot, Olot, Spain.
Gloria DiazHopsital de Campdevànol, Campdevànol, Spain.
Xavier JiménezServei d'Emergencies Mèdiques, Catalunya, Spain.
Teresa SubiratsServei d'Emergencies Mèdiques, Catalunya, Spain.
Anna DeulofeuServei d'Emergencies Mèdiques, Catalunya, Spain.
Verónica HidalgoHospital del Mar, Barcelona, Spain.
Mercè Salvat-PlanaPla Director de les Malalties Vasculars Cerebrals. Agència de Qualitat i Avaluació Sanitàries de Catalunya (AQuAS) CIBER en Epidemiolgia i Salut Pública (CBERESP), Departament de Salut, Barcelona, Spain.ORCID 0000-0003-0994-6567
Natalia Pérez de la OssaHospital Universitari Germans Trias i Pujol, Badalona, Spain.
Hospital Universitari de Girona Doctor Josep Trueta · ESHospital Universitari Germans Trias i Pujol · ESMédecins Sans Frontières · ESDepartament de Salut · ESHospital Del Mar · ESBellvitge University Hospital · ESConsorci Sanitari Garraf · ESDeleted InstitutionFundació Salut i Envelliment UAB · ESHospital Clínic de Barcelona · ESHospital Comarcal de Inca · ESHospital de FigueresHospital de Mataró · ESHospital de Palamós · ESHospital de Sant Joan Despí Moisès Broggi · ESHospital de Sant Pau · ESHospital d'Igualada · ESHospital General de Granollers · ESHospital Universitari Arnau de Vilanova · ESHospital Universitari de Tortosa Verge de la Cinta · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPrevious studies have reported differences in the management and outcome of women stroke patients in comparison with men. We aim to analyze sex and gender differences in the medical assistance, access to treatment and outcome of acute stroke patients in Catalonia. PATIENTS AND

methodsData were obtained from a prospective population-based registry of stroke code activations in Catalonia (CICAT) from January/2016 to December/2019. The registry includes demographic data, stroke severity, stroke subtype, reperfusion therapy, and time workflow. Centralized clinical outcome at 90 days was assessed in patients receiving reperfusion therapy.

resultsA total of 23,371 stroke code activations were registered (54% men, 46% women). No differences in prehospital time metrics were observed. Women more frequently had a final diagnosis of stroke mimic, were older and had a previous worse functional situation. Among ischemic stroke patients, women had higher stroke severity and more frequently presented proximal large vessel occlusion. Women received more frequently reperfusion therapy (48.2% vs 43.1%, DISCUSSION AND

conclusionWe found some differences by sex in that acute stroke was more frequent in older women and the stroke severity was higher. We found no differences in medical assistance times, access to reperfusion treatment and early complications. Worse clinical outcome at 90 days in women was conditioned by stroke severity and older age, but not by sex itself.

Indexed as

StrokeAgedFemaleHumansMaleProspective StudiesSex FactorsSpainTreatment OutcomeAcute strokegenderoutcomesex

Identifiers

PMID37231687
PMCPMC10334164
OpenAlexW4323044815

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.