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1. Gender-based differences in mortality and complementary therapies for patients with stroke in Taiwan. 1
S3 complementary therapy for Biological Science Database, CBCA Business, CBCA 10534*
stroke Education, CBCA Reference & Current Events, Criminal Justice
Database, Family Health Database, GenderWatch,
International Newsstream, Library Science Database, Military
Database, Religion Database, Social Science Database
S2 Therapy complimented for Biological Science Database, CBCA Business, CBCA 205°
stroke Education, CBCA Reference & Current Events, Criminal Justice
Database, Family Health Database, GenderWatch,
International Newsstream, Library Science Database, Military
Database, Religion Database, Social Science Database
S1 Therapy complementer for Biological Science Database, CBCA Business, CBCA 1°
stroke Education, CBCA Reference & Current Events, Criminal Justice
Database, Family Health Database, GenderWatch,
International Newsstream, Library Science Database, Military
Database, Religion Database, Social Science Database
* Duplikat dihapus dari pencarian Anda, tetapi disertakan dalam jumlah hasil Anda.
° Duplikat dihapus dari pencarian Anda dan dari jumlah hasil Anda.
ABSTRAK
Background
Stroke is a leading cause of death worldwide. In this retrospective study, we investigated the different effects of
gender on medical behavior, medical service, medical cost, and death from stroke in Taiwan.
Methods
We collected data on the stroke-associated mortality rate according to gender and age group for the period
between 2009 and 2013 from the official registry of Ministry of Health and Welfare, Taiwan. We analyzed the data
related to stroke-associated medical care and costs in 2013 from the National Health Insurance Research
Database (NHIRD).
Results
The mortality rate due to stroke was higher in men than in women, despite more inpatient or outpatient medical
treatment and higher medical costs, especially in patients aged <50years. Married women showed a significantly
lower stroke-associated mortality compared to married men. Women were significantly more likely to accept
Western medicine combined with traditional Chinese medicine (TCM) treatment than men (81.51% of women and
74.27% of men). They had lower medical expenditure and lower mortality from stroke than men did. Combined use
of integrative Chinese and Western medicine also was associated with lower mortality from stroke than use of
conventional Western medicine alone.
Conclusions
In Taiwan, stroke-associated mortality is higher in men. Marriage or female sex hormone may have protective
effect against stroke in women. Women also more tended to seek TCM complementary therapies combined with
Western medicine. Integrated Chinese and Western medicine could thus be a potential treatment for stroke.
TEKS LENGKAP
Background
Stroke is a cerebrovascular accident that results in brain ischemia due to poor blood flow or hemorrhage. It is a
major cause of mortality and disability worldwide. Two recently published systematic reviews1,2 showed that the
global burden of stroke has increased over the past two decades. Some studies have reported that gender-based
differences exist in the etiology, presentation, treatment, and outcome of stroke.3-6 Epidemiological studies and
analysis of stroke registry data7-11 have indicated that the incidence or prevalence of stroke is higher among men
than among women, although women tend to have poor outcomes. However, some studies have reported no
differences in mortality or disability based on gender;12-15 others have even shown that women have a better
survival rate than men.16,17
Thus, gender-based differences in mortality rate and other parameters related to stroke are controversial. Few
6395 39.1 6426 38.3 6599 38.0 Female 4225 25.7 4171 24.0
Chi-
1.44 1.62 1.39 1.60 1.40 1.64 347.78 316.88 357.49 289.99
square
Medical 8,798,34
1.50 6,071,120
cost(/1000) 2
2,251,25
2.02 1 50-74 y/o 1,342,932
2
1,175,97
1.68 1.20 >74 y/o 1,166,139
6
Outpatie
1.01 2.00 nt cost 4,726,460
(/1000)
Mortality
1,326,647 1.07 2.14
rate (%)
TCM and
Western Male 6861 (74.27%) 1.23%
medicine
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haemorrhagic stroke during 1990-2010: findings from the Global Burden of Disease Study 2010, Lancet Global
Health, Vol. 1, Iss. 5, 2013, e259-81
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DETAIL
Lokasi: Taiwan
Pengidentifikasi/kata kunci: Abbreviations NHI National Health Insurance NHIRD National Health Insurance
Research Database NTD New Taiwan Dollar SDR standardized death rate TCM
traditional Chinese medicine
Judul: Gender-based differences in mortality and complementary therapies for patients with
stroke in Taiwan
Volume: 30
Halaman: 113-117
DOI: http://dx.doi.org/10.1016/j.ctim.2016.12.004
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