A cohort study investigating the occurrence of differences in care provided to men and women in an intensive care unit

Abstract It has been reported that there are differences in the care given within the intensive care unit (ICU) between men and women. The aim of this study is to investigate if any differences still exist between men and women regarding the level of intensive care provided, using prespecified inten...

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Autores principales:	Erik Zettersten, Gabriella Jäderling, Max Bell, Emma Larsson
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/e63b44c745a144a394a1fc4096e6bd77
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spelling	oai:doaj.org-article:e63b44c745a144a394a1fc4096e6bd772021-12-05T12:11:30ZA cohort study investigating the occurrence of differences in care provided to men and women in an intensive care unit10.1038/s41598-021-02815-w2045-2322https://doaj.org/article/e63b44c745a144a394a1fc4096e6bd772021-12-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-02815-whttps://doaj.org/toc/2045-2322Abstract It has been reported that there are differences in the care given within the intensive care unit (ICU) between men and women. The aim of this study is to investigate if any differences still exist between men and women regarding the level of intensive care provided, using prespecified intensive care items. This is a retrospective cohort study of 9017 ICU patients admitted to a university hospital between 2006 and 2016. Differences in use of mechanical ventilation, invasive monitoring, vasoactive treatment, inotropic treatment, echocardiography, renal replacement therapy and central venous catheters based on the sex of the patient were analysed using univariate and multivariable logistic regressions. Subgroup analyses were performed on patients diagnosed with sepsis, cardiac arrest and respiratory disease. Approximately one third of the patients were women. Overall, men received more mechanical ventilation, more dialysis and more vasoactive treatment. Among patients admitted with a respiratory disease, men were more likely to receive mechanical ventilation. Furthermore, men were more likely to receive levosimendan if admitted with cardiac arrest. We conclude that differences in the level of intensive care provided to men and women still exist.Erik ZetterstenGabriella JäderlingMax BellEmma LarssonNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Erik Zettersten Gabriella Jäderling Max Bell Emma Larsson A cohort study investigating the occurrence of differences in care provided to men and women in an intensive care unit
description	Abstract It has been reported that there are differences in the care given within the intensive care unit (ICU) between men and women. The aim of this study is to investigate if any differences still exist between men and women regarding the level of intensive care provided, using prespecified intensive care items. This is a retrospective cohort study of 9017 ICU patients admitted to a university hospital between 2006 and 2016. Differences in use of mechanical ventilation, invasive monitoring, vasoactive treatment, inotropic treatment, echocardiography, renal replacement therapy and central venous catheters based on the sex of the patient were analysed using univariate and multivariable logistic regressions. Subgroup analyses were performed on patients diagnosed with sepsis, cardiac arrest and respiratory disease. Approximately one third of the patients were women. Overall, men received more mechanical ventilation, more dialysis and more vasoactive treatment. Among patients admitted with a respiratory disease, men were more likely to receive mechanical ventilation. Furthermore, men were more likely to receive levosimendan if admitted with cardiac arrest. We conclude that differences in the level of intensive care provided to men and women still exist.
format	article
author	Erik Zettersten Gabriella Jäderling Max Bell Emma Larsson
author_facet	Erik Zettersten Gabriella Jäderling Max Bell Emma Larsson
author_sort	Erik Zettersten
title	A cohort study investigating the occurrence of differences in care provided to men and women in an intensive care unit
title_short	A cohort study investigating the occurrence of differences in care provided to men and women in an intensive care unit
title_full	A cohort study investigating the occurrence of differences in care provided to men and women in an intensive care unit
title_fullStr	A cohort study investigating the occurrence of differences in care provided to men and women in an intensive care unit
title_full_unstemmed	A cohort study investigating the occurrence of differences in care provided to men and women in an intensive care unit
title_sort	cohort study investigating the occurrence of differences in care provided to men and women in an intensive care unit
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/e63b44c745a144a394a1fc4096e6bd77
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A cohort study investigating the occurrence of differences in care provided to men and women in an intensive care unit

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