Comment: Does patient sex affect decision-making after hemorrhagic stroke?

Women do worse than men after both ischemic and hemorrhagic stroke, with evidence that sex bias in physician decision-making may contribute to this increased morbidity and mortality.1 Intracerebral hemorrhage (ICH) poses additional challenges, as the etiologies—amyloid angiopathy associated with prior cognitive decline, illicit drug use—carry their own assumptions. Guha et al.2 report findings from the Ethnic/Racial Variations of Intracerebral Hemorrhage (ERICH) study, a prospective, multicenter, triethnic, case-control study of ICH risk factors and outcomes. In almost 3,000 people, they examined comorbidities, treatments, and use of do not resuscitate (DNR) orders, comparing men vs women (n = 1,220). The outcome measure was aggressiveness of care, measured via use of surgical therapies for hematoma treatment and avoidance of DNR orders.
Source: Neurology - Category: Neurology Authors: Tags: All Cerebrovascular disease/Stroke, Intracerebral hemorrhage ARTICLE Source Type: research