Men Are at Higher Risk of Screening Positive for Vascular Cognitive Impairment Compared to Women after Stroke and Transient Ischemic Attack-Reference-Cited by-同舟云学术

Men Are at Higher Risk of Screening Positive for Vascular Cognitive Impairment Compared to Women after Stroke and Transient Ischemic Attack

Published:2023-06-27 Issue:1 Volume:94 Page:89-94
ISSN:1387-2877
Container-title:Journal of Alzheimer's Disease
language:
Short-container-title:JAD

Author:

Zinman Julia¹,Kapoor Arunima¹,Si Kevin¹²,Sujanthan Sajeevan¹²,Southwell Alisia¹,Cayley Megan L.¹,Sicard Michelle N.¹,Lien Karen¹,Murray Brian J.¹,Lanctôt Krista²³,Herrmann Nathan²³,Dowlatshahi Dar⁴,Sahlas Demetrios J.⁵,Saposnik Gustavo⁶,Mandzia Jennifer L.⁷,Casaubon Leanne K.⁸,Hassan Ayman⁹,Perez Yael¹⁰,Swartz Richard H.¹²

Affiliation:

1. Department of Medicine (Neurology), Sunnybrook Health Sciences Centre, Toronto, ON, Canada

2. University of Toronto, Toronto, ON, Canada

3. Department of Psychiatry, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON, Canada

4. Department of Medicine, University of Ottawa and Ottawa Hospital Research Institute, Ottawa, ON, Canada

5. Department of Medicine (Neurology), McMaster University, Hamilton General Hospital, Hamilton Health Sciences, Hamilton, ON, Canada

6. Stroke Outcomes and Decision Neuroscience Unit, St. Michael’s Hospital, Toronto, ON, Canada

7. London Health Sciences Centre, Division of Neurology, London, ON, Canada

8. University Health Network/Toronto Western Hospital, Division of Neurology, Toronto, ON, Canada

9. Thunder Bay Regional Health Sciences Centre, Division of Neurology, Thunder Bay, ON, Canada

10. Trillium Health Partners, Department of Medicine (Neurology), Mississauga, ON, Canada

Abstract

While women have greater incidence of dementia, men have higher prevalence of vascular risk factors. This study examined sex differences in risk of screening positive for cognitive impairment after stroke. Ischemic stroke/TIA patients (N = 5969) participated in this prospective, multi-centered study, which screened for cognitive impairment using a validated brief screen. Men showed a higher risk of screening positive for cognitive impairment after adjusting for age, education, stroke severity, and vascular risk factors, suggesting that other factors may be contributing to increased risk among men (OR = 1.34, CI 95% [1.16, 1.55], p < 0.001). The effect of sex on cognitive impairment after stroke warrants further attention.

Publisher

IOS Press

Subject

Psychiatry and Mental health,Geriatrics and Gerontology,Clinical Psychology,General Medicine,General Neuroscience

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1. Vascular Cognitive Impairment: A Little Bit of Good News for Women or Bad News for Men?;Journal of Alzheimer's Disease;2023-09-12