Män har bättre intensivvårdsöverlevnad än kvinnor. Gäller främst diagnoser som hjärtstopp och septisk chock
Engelsk titel: Better intensive care outcomes for men than women especially in septic shock and after cardiac arrest
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Författare:
Nyberg, Hanna
;
Samuelsson, Carolina
;
Frigyesi, Attila
Email: attila.frigyesi@skane.se
Språk: Swe
Antal referenser: 15
Dokumenttyp:
Artikel
UI-nummer: 16127106
Sammanfattning
In this study 11?764 intensive care admissions to Skåne University Hospital in Sweden between 2008 and 2015 were studied for any gender
differences in outcome for different diagnoses. As known from previous studies, men had more intensive care admissions and had a higher morbidity
necessitating the use of risk adjusted mortality measures. Through a simple but new application of VLAD we found this risk-adjusted mortality measure to
be more sensitive in detecting differences in mortality between groups than the more commonly used SMR. The main finding was somewhat surprisingly
that intensive care outcomes are better for males than females. This difference was most marked in septic shock and post cardiac arrest and did not
seem to be caused by unequal distribution of care. Our findings were also confirmed using a bootstrap technique on EMR-matched cohorts.