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Gender Differences in Neurologic Emergencies Part I: A Consensus Summary and Research Agenda on Cerebrovascular Disease
Author(s) -
Madsen Tracy E.,
Seigel Todd A.,
Mackenzie Richard S.,
Marcolini Evie G.,
Wira Charles R.,
Healy Megan E.,
Wright David W.,
Gentile Nina T.
Publication year - 2014
Publication title -
academic emergency medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.221
H-Index - 124
eISSN - 1553-2712
pISSN - 1069-6563
DOI - 10.1111/acem.12528
Subject(s) - medicine , emergency department , subarachnoid hemorrhage , migraine , stroke (engine) , medical diagnosis , disease , medical emergency , medline , emergency medicine , intensive care medicine , family medicine , psychiatry , pathology , surgery , mechanical engineering , political science , law , engineering
Cerebrovascular neurologic emergencies including ischemic and hemorrhagic stroke, subarachnoid hemorrhage ( SAH ), and migraine are leading causes of death and disability that are frequently diagnosed and treated in the emergency department ( ED ). Although sex and gender differences in neurologic emergencies are beginning to become clearer, there are many unanswered questions about how emergency physicians should incorporate sex and gender into their research initiatives, patient evaluations, and overall management plans for these conditions. After evaluating the existing gaps in the literature, a core group of ED researchers developed a draft of future research priorities. Participants in the 2014 Academic Emergency Medicine consensus conference neurologic emergencies working group then discussed and approved the recommended research agenda using a standardized nominal group technique. Recommendations for future research on the role of sex and gender in the diagnosis, treatment, and outcomes pertinent to ED providers are described for each of three diagnoses: stroke, SAH , and migraine. Recommended future research also includes investigation of the biologic and pathophysiologic differences between men and women with neurologic emergencies as they pertain to ED diagnoses and treatments.