Sex Differences in Diagnosis and Diagnostic Revision of
Suspected Minor Cerebral Ischemic Events

J 2021

Sex Differences in Diagnosis and Diagnostic Revision of Suspected Minor Cerebral Ischemic Events

YU, A. Y. X., M. D. HILL, N. ASDAGHI, J. M. BOULANGER, M. C. CAMDEN et. al.

Basic information

Original name

Sex Differences in Diagnosis and Diagnostic Revision of Suspected Minor Cerebral Ischemic Events

Authors

YU, A. Y. X. (guarantor), M. D. HILL, N. ASDAGHI, J. M. BOULANGER, M. C. CAMDEN, B. C. V. CAMPBELL, A. M. DEMCHUK, T. S. FIELD, M. GOYAL, M. KRAUSE, J. MANDZIA, B. K. MENON, Robert MIKULÍK (203 Czech Republic, belonging to the institution), F. MOREAU, A. M. PENN, R. H. SWARTZ and S. B. COUTTS

Edition

Neurology, Philadelphia, LIPPINCOTT WILLIAMS & WILKINS, 2021, 0028-3878

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30210 Clinical neurology

Country of publisher

United States of America

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

URL

Impact factor

Impact factor: 11.800

RIV identification code

RIV/00216224:14110/21:00121976

Organization unit

Faculty of Medicine

DOI

http://dx.doi.org/10.1212/WNL.0000000000011212

UT WoS

000656637200020

Keywords in English

Minor Cerebral Ischemic Events; Diagnosis; Sex Differences

Abstract

V originále

Objective To describe sex differences in the presentation, diagnosis, and revision of diagnosis after early brain MRI in patients who present with acute transient or minor neurologic events. Methods We performed a secondary analysis of a prospective multicenter cohort study of patients referred to neurology between 2010 and 2016 with a possible cerebrovascular event and evaluated with brain MRI within 8 days of symptom onset. Investigators documented the characteristics of the event, initial diagnosis, and final diagnosis. We used multivariable logistic regression analyses to evaluate the association between sex and outcomes. Results Among 1,028 patients (51% women, median age 63 years), more women than men reported headaches and fewer reported chest pain, but there were no sex differences in other accompanying symptoms. Women were more likely than men to be initially diagnosed with stroke mimic (54% of women vs 42% of men, adjusted odds ratio (OR) 1.60, 95% confidence interval [CI] 1.24-2.07), and women were overall less likely to have ischemia on MRI (10% vs 17%, OR 0.52, 95% CI 0.36-0.76). Among 496 patients initially diagnosed with mimic, women were less likely than men to have their diagnosis revised to minor stroke or TIA (13% vs 20%, OR 0.53, 95% CI 0.32-0.88) but were equally likely to have acute ischemia on MRI (5% vs 8%, OR 0.56, 95% CI 0.26-1.21). Conclusions Stroke mimic was more frequently diagnosed in women than men, but diagnostic revisions were common in both. Early brain MRI is a useful addition to clinical evaluation in diagnosing transient or minor neurologic events.

Citovat

YU, A. Y. X., M. D. HILL, N. ASDAGHI, J. M. BOULANGER, M. C. CAMDEN, B. C. V. CAMPBELL, A. M. DEMCHUK, T. S. FIELD, M. GOYAL, M. KRAUSE, J. MANDZIA, B. K. MENON, Robert MIKULÍK, F. MOREAU, A. M. PENN, R. H. SWARTZ and S. B. COUTTS. Sex Differences in Diagnosis and Diagnostic Revision of Suspected Minor Cerebral Ischemic Events. Neurology. Philadelphia: LIPPINCOTT WILLIAMS & WILKINS, 2021, vol. 96, No 5, p. "E732"-"E739", 8 pp. ISSN 0028-3878. Available from: https://dx.doi.org/10.1212/WNL.0000000000011212.

@article{1783550,
   author = {Yu, A. Y. X. and Hill, M. D. and Asdaghi, N. and Boulanger, J. M. and Camden, M. C. and Campbell, B. C. V. and Demchuk, A. M. and Field, T. S. and Goyal, M. and Krause, M. and Mandzia, J. and Menon, B. K. and Mikulík, Robert and Moreau, F. and Penn, A. M. and Swartz, R. H. and Coutts, S. B.},
   article_location = {Philadelphia},
   article_number = {5},
   doi = {http://dx.doi.org/10.1212/WNL.0000000000011212},
   keywords = {Minor Cerebral Ischemic Events; Diagnosis; Sex Differences},
   language = {eng},
   issn = {0028-3878},
   journal = {Neurology},
   title = {Sex Differences in Diagnosis and Diagnostic Revision of Suspected Minor Cerebral Ischemic Events},
   url = {https://n.neurology.org/content/96/5/e732},
   volume = {96},
   year = {2021}
}

TY  - JOUR
ID  - 1783550
AU  - Yu, A. Y. X. - Hill, M. D. - Asdaghi, N. - Boulanger, J. M. - Camden, M. C. - Campbell, B. C. V. - Demchuk, A. M. - Field, T. S. - Goyal, M. - Krause, M. - Mandzia, J. - Menon, B. K. - Mikulík, Robert - Moreau, F. - Penn, A. M. - Swartz, R. H. - Coutts, S. B.
PY  - 2021
TI  - Sex Differences in Diagnosis and Diagnostic Revision of Suspected Minor Cerebral Ischemic Events
JF  - Neurology
VL  - 96
IS  - 5
SP  - "E732"-"E739"
EP  - "E732"-"E739"
PB  - LIPPINCOTT WILLIAMS & WILKINS
SN  - 00283878
KW  - Minor Cerebral Ischemic Events
KW  - Diagnosis
KW  - Sex Differences
UR  - https://n.neurology.org/content/96/5/e732
N2  - Objective To describe sex differences in the presentation, diagnosis, and revision of diagnosis after early brain MRI in patients who present with acute transient or minor neurologic events. Methods We performed a secondary analysis of a prospective multicenter cohort study of patients referred to neurology between 2010 and 2016 with a possible cerebrovascular event and evaluated with brain MRI within 8 days of symptom onset. Investigators documented the characteristics of the event, initial diagnosis, and final diagnosis. We used multivariable logistic regression analyses to evaluate the association between sex and outcomes. Results Among 1,028 patients (51% women, median age 63 years), more women than men reported headaches and fewer reported chest pain, but there were no sex differences in other accompanying symptoms. Women were more likely than men to be initially diagnosed with stroke mimic (54% of women vs 42% of men, adjusted odds ratio (OR) 1.60, 95% confidence interval [CI] 1.24-2.07), and women were overall less likely to have ischemia on MRI (10% vs 17%, OR 0.52, 95% CI 0.36-0.76). Among 496 patients initially diagnosed with mimic, women were less likely than men to have their diagnosis revised to minor stroke or TIA (13% vs 20%, OR 0.53, 95% CI 0.32-0.88) but were equally likely to have acute ischemia on MRI (5% vs 8%, OR 0.56, 95% CI 0.26-1.21). Conclusions Stroke mimic was more frequently diagnosed in women than men, but diagnostic revisions were common in both. Early brain MRI is a useful addition to clinical evaluation in diagnosing transient or minor neurologic events.
ER  -

YU, A. Y. X., M. D. HILL, N. ASDAGHI, J. M. BOULANGER, M. C. CAMDEN, B. C. V. CAMPBELL, A. M. DEMCHUK, T. S. FIELD, M. GOYAL, M. KRAUSE, J. MANDZIA, B. K. MENON, Robert MIKULÍK, F. MOREAU, A. M. PENN, R. H. SWARTZ and S. B. COUTTS. Sex Differences in Diagnosis and Diagnostic Revision of Suspected Minor Cerebral Ischemic Events. \textit{Neurology}. Philadelphia: LIPPINCOTT WILLIAMS \&{} WILKINS, 2021, vol.~96, No~5, p.~''E732''-''E739'', 8 pp. ISSN~0028-3878. Available from: https://dx.doi.org/10.1212/WNL.0000000000011212.

Detailed Information on Publication Record