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Article: Sex differences in stroke incidence and survival in Hong Kong, 2000-2007

TitleSex differences in stroke incidence and survival in Hong Kong, 2000-2007
Authors
Issue Date2012
PublisherS Karger AG. The Journal's web site is located at http://www.karger.com/NED
Citation
Neuroepidemiology, 2012, v. 38 n. 2, p. 69-75 How to Cite?
AbstractBackground: Few studies have examined the impact of sex across different age groups and over time on chronic diseases in Asia. The objective of this study was to explore the effect of sex across different age groups and over time on stroke incidence and 30-day case fatality in Hong Kong. Methods: Over 90% first hospitalizations for stroke in Hong Kong (from 2000 to 2007) were identified from the Clinical Management System of the Hospital Authority. Age-specific rate ratios (RRs; women to men) for incidence of first hospitalization and the 30-day case fatality were estimated based on Poisson regression models after adjustment for year of hospitalization. Results: Women below the age of 85 years had a lower incidence of first hospitalization than men, and the effect size varied with age [35-44 years: RR = 0.56, 95% confidence interval (CI) = 0.49-0.64; 45-54 years: 0.65, 0.53-0.79; 55-64 years: 0.58, 0.48-0.71; 65-74 years: 0.71, 0.58-0.85; 75-84 years: 0.83, 0.68-1.00)]. Women aged ≥85 years had a stroke incidence similar to men, but the adjusted 30-day case fatality was significantly higher than that of men aged ≥85 years (RR = 1.14, 95% CI = 1.05-1.23). Conclusions: Lower rates of incidence were observed in women than men aged 35-84 years in Hong Kong but short-term case fatality is greater in women aged ≥85 years. Copyright © 2012 S. Karger AG, Basel.
Persistent Identifierhttp://hdl.handle.net/10722/160691
ISSN
2015 Impact Factor: 2.784
2015 SCImago Journal Rankings: 1.726
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorWu, SHen_HK
dc.contributor.authorHo, SCen_HK
dc.contributor.authorChau, PHen_HK
dc.contributor.authorGoggins, Wen_HK
dc.contributor.authorSham, Aen_HK
dc.contributor.authorWoo, Jen_HK
dc.date.accessioned2012-08-16T06:16:54Z-
dc.date.available2012-08-16T06:16:54Z-
dc.date.issued2012en_HK
dc.identifier.citationNeuroepidemiology, 2012, v. 38 n. 2, p. 69-75en_HK
dc.identifier.issn0251-5350en_HK
dc.identifier.urihttp://hdl.handle.net/10722/160691-
dc.description.abstractBackground: Few studies have examined the impact of sex across different age groups and over time on chronic diseases in Asia. The objective of this study was to explore the effect of sex across different age groups and over time on stroke incidence and 30-day case fatality in Hong Kong. Methods: Over 90% first hospitalizations for stroke in Hong Kong (from 2000 to 2007) were identified from the Clinical Management System of the Hospital Authority. Age-specific rate ratios (RRs; women to men) for incidence of first hospitalization and the 30-day case fatality were estimated based on Poisson regression models after adjustment for year of hospitalization. Results: Women below the age of 85 years had a lower incidence of first hospitalization than men, and the effect size varied with age [35-44 years: RR = 0.56, 95% confidence interval (CI) = 0.49-0.64; 45-54 years: 0.65, 0.53-0.79; 55-64 years: 0.58, 0.48-0.71; 65-74 years: 0.71, 0.58-0.85; 75-84 years: 0.83, 0.68-1.00)]. Women aged ≥85 years had a stroke incidence similar to men, but the adjusted 30-day case fatality was significantly higher than that of men aged ≥85 years (RR = 1.14, 95% CI = 1.05-1.23). Conclusions: Lower rates of incidence were observed in women than men aged 35-84 years in Hong Kong but short-term case fatality is greater in women aged ≥85 years. Copyright © 2012 S. Karger AG, Basel.en_HK
dc.languageengen_US
dc.publisherS Karger AG. The Journal's web site is located at http://www.karger.com/NEDen_HK
dc.relation.ispartofNeuroepidemiologyen_HK
dc.subject.meshAdulten_HK
dc.subject.meshAgeden_HK
dc.subject.meshAged, 80 and overen_HK
dc.subject.meshCerebral Hemorrhage - mortalityen_HK
dc.subject.meshFemaleen_HK
dc.subject.meshHong Kong - epidemiologyen_HK
dc.subject.meshHumansen_HK
dc.subject.meshIncidenceen_HK
dc.subject.meshMaleen_HK
dc.subject.meshMiddle Ageden_HK
dc.subject.meshSex Factorsen_HK
dc.subject.meshStroke - mortalityen_HK
dc.subject.meshSubarachnoid Hemorrhage - mortalityen_HK
dc.subject.meshSurvival Rateen_HK
dc.titleSex differences in stroke incidence and survival in Hong Kong, 2000-2007en_HK
dc.typeArticleen_HK
dc.identifier.emailChau, PH: phpchau@hku.hken_HK
dc.identifier.authorityChau, PH=rp00574en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1159/000335040en_HK
dc.identifier.pmid22248621-
dc.identifier.scopuseid_2-s2.0-84862777414en_HK
dc.identifier.hkuros202921en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-84862777414&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume38en_HK
dc.identifier.issue2en_HK
dc.identifier.spage69en_HK
dc.identifier.epage75en_HK
dc.identifier.isiWOS:000301622400001-
dc.publisher.placeSwitzerlanden_HK
dc.identifier.scopusauthoridWu, SH=14635129200en_HK
dc.identifier.scopusauthoridHo, SC=7403716908en_HK
dc.identifier.scopusauthoridChau, PH=7102266397en_HK
dc.identifier.scopusauthoridGoggins, W=6701315434en_HK
dc.identifier.scopusauthoridSham, A=55262341100en_HK
dc.identifier.scopusauthoridWoo, J=36040369400en_HK

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