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

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 associat...

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Autores: Miguel Díez, Javier De, López Herranz, Marta, Jiménez García, Rodrigo, Hernández Barrera, Valentín, Jiménez Trujillo, Isabel, Miguel Yanes, José María De, López De Andrés, Ana Isabel
Tipo de recurso: artículo
Fecha de publicación:2021
País:España
Institución:Universidad Complutense de Madrid (UCM)
Repositorio:Docta Complutense
Idioma:inglés
OAI Identifier:oai:docta.ucm.es:20.500.14352/6974
Acceso en línea:https://hdl.handle.net/20.500.14352/6974
Access Level:acceso abierto
Palabra clave:Hemorrhagic stroke
COPD
Sex-differences
Incidence
In-hospital mortality
Cirugía
Neumología
Neurociencias (Medicina)
3213 Cirugía
3205.08 Enfermedades Pulmonares
2490 Neurociencias
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oai_identifier_str oai:docta.ucm.es:20.500.14352/6974
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network_name_str España
repository_id_str
spelling Effect of COPD on the Hospital Outcomes and Mortality among Hemorrhagic Stroke Patients. Sex Differences in a Population-Based StudyMiguel Díez, Javier DeLópez Herranz, MartaJiménez García, RodrigoHernández Barrera, ValentínJiménez Trujillo, IsabelMiguel Yanes, José María DeLópez De Andrés, Ana IsabelHemorrhagic strokeCOPDSex-differencesIncidenceIn-hospital mortalityCirugíaNeumologíaNeurociencias (Medicina)3213 Cirugía3205.08 Enfermedades Pulmonares2490 NeurocienciasBackground: 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.MPDIUniversidad Complutense de Madrid20212021-01-0120212021-01-01journal articlehttp://purl.org/coar/resource_type/c_6501info:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/20.500.14352/6974reponame:Docta Complutenseinstname:Universidad Complutense de Madrid (UCM)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2Atribución 3.0 Españahttps://creativecommons.org/licenses/by/3.0/es/info:eu-repo/semantics/openAccessoai:docta.ucm.es:20.500.14352/69742026-06-02T12:44:21Z
dc.title.none.fl_str_mv Effect of COPD on the Hospital Outcomes and Mortality among Hemorrhagic Stroke Patients. Sex Differences in a Population-Based Study
title Effect of COPD on the Hospital Outcomes and Mortality among Hemorrhagic Stroke Patients. Sex Differences in a Population-Based Study
spellingShingle Effect of COPD on the Hospital Outcomes and Mortality among Hemorrhagic Stroke Patients. Sex Differences in a Population-Based Study
Miguel Díez, Javier De
Hemorrhagic stroke
COPD
Sex-differences
Incidence
In-hospital mortality
Cirugía
Neumología
Neurociencias (Medicina)
3213 Cirugía
3205.08 Enfermedades Pulmonares
2490 Neurociencias
title_short Effect of COPD on the Hospital Outcomes and Mortality among Hemorrhagic Stroke Patients. Sex Differences in a Population-Based Study
title_full Effect of COPD on the Hospital Outcomes and Mortality among Hemorrhagic Stroke Patients. Sex Differences in a Population-Based Study
title_fullStr Effect of COPD on the Hospital Outcomes and Mortality among Hemorrhagic Stroke Patients. Sex Differences in a Population-Based Study
title_full_unstemmed Effect of COPD on the Hospital Outcomes and Mortality among Hemorrhagic Stroke Patients. Sex Differences in a Population-Based Study
title_sort Effect of COPD on the Hospital Outcomes and Mortality among Hemorrhagic Stroke Patients. Sex Differences in a Population-Based Study
dc.creator.none.fl_str_mv Miguel Díez, Javier De
López Herranz, Marta
Jiménez García, Rodrigo
Hernández Barrera, Valentín
Jiménez Trujillo, Isabel
Miguel Yanes, José María De
López De Andrés, Ana Isabel
author Miguel Díez, Javier De
author_facet Miguel Díez, Javier De
López Herranz, Marta
Jiménez García, Rodrigo
Hernández Barrera, Valentín
Jiménez Trujillo, Isabel
Miguel Yanes, José María De
López De Andrés, Ana Isabel
author_role author
author2 López Herranz, Marta
Jiménez García, Rodrigo
Hernández Barrera, Valentín
Jiménez Trujillo, Isabel
Miguel Yanes, José María De
López De Andrés, Ana Isabel
author2_role author
author
author
author
author
author
dc.contributor.none.fl_str_mv Universidad Complutense de Madrid
dc.subject.none.fl_str_mv Hemorrhagic stroke
COPD
Sex-differences
Incidence
In-hospital mortality
Cirugía
Neumología
Neurociencias (Medicina)
3213 Cirugía
3205.08 Enfermedades Pulmonares
2490 Neurociencias
topic Hemorrhagic stroke
COPD
Sex-differences
Incidence
In-hospital mortality
Cirugía
Neumología
Neurociencias (Medicina)
3213 Cirugía
3205.08 Enfermedades Pulmonares
2490 Neurociencias
description 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.
publishDate 2021
dc.date.none.fl_str_mv 2021
2021-01-01
2021
2021-01-01
dc.type.none.fl_str_mv journal article
http://purl.org/coar/resource_type/c_6501
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/20.500.14352/6974
url https://hdl.handle.net/20.500.14352/6974
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Atribución 3.0 España
https://creativecommons.org/licenses/by/3.0/es/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Atribución 3.0 España
https://creativecommons.org/licenses/by/3.0/es/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv MPDI
publisher.none.fl_str_mv MPDI
dc.source.none.fl_str_mv reponame:Docta Complutense
instname:Universidad Complutense de Madrid (UCM)
instname_str Universidad Complutense de Madrid (UCM)
reponame_str Docta Complutense
collection Docta Complutense
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,301603

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