Effect of COPD on the Hospital Outcomes and Mortality among Hemorrhagic Stroke Patients. Sex Differences in a Population-Based Study

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Miguel Díez, Javier de and Lopez Herranz, Marta and Jiménez García, Rodrigo and Hernández Barrera, Valentín and Jiménez Trujillo, Isabel and Miguel Yanes, Jose M. de and López de Andrés, Ana (2021) Effect of COPD on the Hospital Outcomes and Mortality among Hemorrhagic Stroke Patients. Sex Differences in a Population-Based Study. Journal of Clinical Medicine, 10 (11). p. 2491. ISSN 2077-0383

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Official URL: https://doi.org/10.3390/jcm10112491




Abstract

(1) Background: It is not well known whether there is an association between COPD and hemorrhagic stroke (HS). We aim to analyze the incidence, clinical characteristics, procedures, and outcomes of HS in patients with and without COPD and to assess sex differences. Secondly, to identify factors associated with in-hospital mortality (IHM). (2) Methods: Patients aged ≥40 years hospitalized with HS included in the Spanish National Hospital Discharge Database (2016–2018) were analyzed. Propensity score matching (PSM) was used to compare patients according to sex and COPD status. (3) Results: We included 55,615 patients (44.29% women). Among men with COPD the HS adjusted incidence was higher (IRR 1.31; 95% CI 1.24–1.57) than among non-COPD men. COPD men had higher adjusted incidence of HS than COPD women (IRR 1.87; 95% CI 1.85–1.89). After matching, COPD men had a higher IHM (29.96% vs. 27.46%; p = 0.032) than non-COPD men. Decompressive craniectomy was more frequently conducted among COPD men than COPD women (6.74% vs. 4.54%; p = 0.014). IHM increased with age and atrial fibrillation, while decompressive craniectomy reduced IHM. (4) Conclusions: COPD men had higher incidence and IHM of HS than men without COPD. COPD men had higher incidence of HS than COPD women. Decompressive craniectomy was more frequently conducted in COPD men than COPD women and this procedure was associated to better survival.


Item Type:Article
Uncontrolled Keywords:hemorrhagic stroke; COPD; sex-differences; incidence; in-hospital mortality
Subjects:Medical sciences > Medicine > Surgery
Medical sciences > Medicine > Pneumology
Medical sciences > Medicine > Neurosciences
ID Code:71316
Deposited On:16 Mar 2022 16:19
Last Modified:17 Mar 2022 08:08

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