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Män har bättre intensivvårdsöverlevnad än kvinnor : Gäller främst diagnoser som hjärtstopp och septisk chock

Nyberg, Hanna; Samuelsson, Carolina LU and Frigyesi, Attila LU (2016) In Lakartidningen 113(46).
Abstract

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... (More)

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.

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author
organization
alternative title
Better intensive care outcomes for men than women especially in septic shock and after cardiac arrest
publishing date
type
Contribution to journal
publication status
published
subject
in
Lakartidningen
volume
113
issue
46
external identifiers
  • scopus:85000470523
ISSN
0023-7205
language
Swedish
LU publication?
yes
id
a0ca87c9-73b4-4c50-829e-989a2dd1bd5c
date added to LUP
2016-12-30 11:28:50
date last changed
2017-01-01 08:44:56
@article{a0ca87c9-73b4-4c50-829e-989a2dd1bd5c,
  abstract     = {<p>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.</p>},
  author       = {Nyberg, Hanna and Samuelsson, Carolina and Frigyesi, Attila},
  issn         = {0023-7205},
  language     = {swe},
  number       = {46},
  series       = {Lakartidningen},
  title        = {Män har bättre intensivvårdsöverlevnad än kvinnor : Gäller främst diagnoser som hjärtstopp och septisk chock},
  volume       = {113},
  year         = {2016},
}