Abstract Details

Title Prevalence of Female-Specific Risk Factors in Women with Ischemic and Hemorrhagic Stroke

Topic Cerebrovascular Disease and Interventional Neurology

Presentation(s) N3 - Neuroscience in the Clinic: Menopause: Why Does It Matter for Neurologic Disease? (4:20 PM-4:30 PM)

Poster/Presentation
Number 002

Objective To evaluate the prevalence of female-specific risk factors for stroke in women in a real-world population and develop a systematic method for collecting these data from electronic health records.

Background Female-specific risk factors, including hypertensive disorders of pregnancy, endometriosis, hysterectomy/oophorectomy, oral contraceptive use (OCP), hormone replacement therapy (HRT), prior in vitro fertilization (IVF)/miscarriage/abortions, age at menopause, vasomotor symptoms, and migraine with aura, have been associated with an increased risk of stroke. Determining the prevalence of these risk factors in the stroke belt could aid in targeting stroke prevention for women.

Design/Methods Get With the Guidelines-Stroke database, was the source for a retrospective chart review of 100 women aged 18 to 65 with a discharge diagnosis of ischemic or hemorrhagic stroke from 1/1/2019-12/31/2022. Women with cerebral venous sinus thrombosis, cancer with presumed hypercoagulability, endocarditis, trauma, or stroke during pregnancy were excluded. Demographics, stroke etiology, baseline stroke risk factors were abstracted. Sex-specific risk factors were entered into the search box in Epic: hypertensive disorders of pregnancy, endometriosis, hysterectomy/oophorectomy, use of OCP or HRT, prior IVF/miscarriage/abortions, age at menopause, menopausal vasomotor symptoms, and migraine with aura. Women were stratified into pre-, peri, or post-menopausal.

Results Preliminary analysis indicated that 59% of these women were post-menopausal. 12% with history of hypertensive disorders of pregnancy, 5% endometriosis, 8% migraine with aura, 8 miscarriages, 1 abortion, and no incidences of IVF. Surgical history included 26% with hysterectomy, 7% with oophorectomy, and 10% with bilateral salpingectomy. Only 12% reported hot flashes or night sweats as vasomotor symptoms of menopause.

Conclusions Preliminary assessment revealed limitations in determination of female stroke specific risk factors likely due to underreporting and lack of EMR documentation. We plan further retrospective data collection on 650 patients to achieve larger sample size with comparison to a cohort of women without stroke for assessment of true prevalence.

Authors/Disclosures
Victoria Rice, DO (UC Health Anschutz) PRESENTER	Dr. Rice has nothing to disclose.
Katy A. Helms, MD (Wake Forest Baptist)	Dr. Helms has nothing to disclose.
Sneha Lingam, MD (Atrium Health Wake Forest Baptist)	Ms. Lingam has nothing to disclose.
Sierra Armstrong (Wake Forest School of Medicine)	No disclosure on file
Mia Guzynski	No disclosure on file
Amy K. Guzik, MD, FAAN (Wake Forest University Baptist Medical Center)	Dr. Guzik has received personal compensation in the range of $500-$4,999 for serving as an Expert Witness for Local law firms, available by request.
Cheryl Bushnell, MD, MHS (Wake Forest School of Medicine)	The institution of Dr. Bushnell has received research support from PCORI. The institution of Dr. Bushnell has received research support from NIH/NINDS. Dr. Bushnell has received intellectual property interests from a discovery or technology relating to health care. Dr. Bushnell has received publishing royalties from a publication relating to health care.

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