Objective: To investigate gender-related differences in the characteristics and mortality of stroke patients admitted to the hospital.
Methods: Prospective study of 296 consecutive patients admitted with a stroke and studied for epidemiologic features, risk factors, prior morbidity, neurologic details, acute-phase characteristics, acute mortality, and 90-day mortality. Patients were divided into male and female groups for analysis.
Results: Male-to-female ratio was 163 (55%) males to 133 (45%) females. There were no differences in mean age (P = .10), risk factors, stroke syndromes, infarct size, acute-phase characteristics, or complications. Females were found to be less frequently on prior aspirin (P = .02) and had fewer lacunar strokes (P = .005). A trend was observed for higher acute-phase mortality in females (P = .065); mortality at 90 days was similar (P = .71).
Conclusion: There are no gender-related differences in patients admitted with acute strokes. A minor trend for higher acute-phase mortality in females may be due to their less frequent lacunar strokes and less frequent use of aspirin prior to stroke. Men and women with acute strokes should have access to similar services.