Женщины реже получают точную диагностику инсульта до госпитализации

Результаты мета-анализа, представленного на конгрессе Европейской академии неврологии, показали, что женщины с подозрением на инсульт значительно реже, чем мужчины, получают точное распознавание состояния на догоспитальном этапе. Исследование охватило данные более чем по 1,1 миллиона пациентов и выявило системное неравенство в оказании экстренной помощи по признаку пола.

Перевод ИИ

Текст статьи доступен на языке оригинала.

Нажмите кнопку «Перевести статью» выше, чтобы сгенерировать перевод с помощью ИИ.

Оригинальный контент

Источник

Women with suspected stroke are less likely than men to receive accurate prehospital stroke recognition, according to study results presented at the European Academy of Neurology (EAN) 2026 Congress, held from June 27 to 30 in Geneva, Switzerland. Prompt recognition of stroke before hospital arrival is essential for timely treatment and appropriate triage. Researchers conducted a systematic review and meta-analysis to evaluate whether sex-based differences exist during prehospital stroke care, including emergency dispatch, emergency medical services (EMS) assessment, and transport. The researchers systematically searched for studies reporting sex differences in prehospital stroke care. Random-effects meta-analyses using inverse variance weighting were performed to evaluate differences in prehospital stroke recognition and other aspects of emergency care. The primary outcome was the rate of accurate prehospital stroke recognition. Secondary outcomes included dispatch stroke coding, EMS prenotification, transport destination, and prehospital time metrics. Female patients experience lower rates of accurate prehospital stroke recognition. The analysis included 16 studies involving 1,193,788 patients, of whom 622,764 were women, and 571,024 were men. Compared with men, women were significantly less likely to receive an accurate prehospital stroke recognition (risk ratio [RR], 0.92; 95% CI, 0.89-0.96). No significant sex-based differences were identified in dispatch stroke coding, EMS prenotification, transport to stroke centers, or call-to-door times. Researchers found insufficient evidence to determine whether sex differences existed in on-scene clinical management or communication among health care professionals during prehospital care because these outcomes were inconsistently reported across studies. “Female patients experience lower rates of accurate prehospital stroke recognition,” the study authors concluded. They continued, “Considerable heterogeneity and limited reporting across care stages highlight the need for standardized, high-quality studies to address sex-based inequities in prehospital stroke systems.” Quiz Yourself | Test Your Knowledge: Top Findings From EAN 2026 References: Moghib K, Meshref M. Sex-based inequities in prehospital stroke identification: a systematic review and meta-analysis. Abstract presented at: EAN 2026; June 27-30, 2026; Geneva, Switzerland. EPO-0522.