Organ support & nutrition

Sex-related Incidence of Stroke After Left Ventricular Assist Device Implantation: A Systematic Review and Meta-analysis

J Cardiothorac Vasc AnesthPublished Systematic review and meta-analysis

Pooled resultResult — go to the resultRelative risk 1.12 95% CI 1.04–1.21

Authors' conclusion

Females demonstrate a significantly greater likelihood of experiencing post-LVAD stroke than males, especially in Asians.

Study context

Population
Adults with left ventricular assist devices (LVADs)
Participants
47,125 adults · 28 studies
Comparison
Females vs males
Outcome
Post-LVAD implantation stroke
Methodological detailssubgroup analysis, meta-regression
  • Subgroup analysis
  • Meta-regression

Pooled result

As reported in the abstract

Relative risk

1.12

95% CI 1.04–1.21

Females vs Males
RR 1.12 (95% CI 1.04–1.21)

Further pooled results

OutcomeRR (95% CI)
Stroke (subgroup: Asian)1.40 (1.11–1.76)
Stroke (subgroup: North American)1.25 (1.07–1.46)

Meta-regression of RR on average age and publication year

No significant relationship with average age
P = 0.469
No significant relationship with publication year
P = 0.096

Original publication

Sex-related Incidence of Stroke After Left Ventricular Assist Device Implantation: A Systematic Review and Meta-analysis. J Cardiothorac Vasc Anesth. Published 22 September 2025. doi:10.1053/j.jvca.2025.09.039

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