title: [Better intensive care outcomes for men than women especially in septic shock and after cardiac arrest].
abstract: Better intensive care outcomes for men than women especially in septic shock and after cardiac arrest 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.
authors.affiliation: Skånes universitetssjukhus - intensiv och perioperativ vård Lund, Sweden Lunds universitet - IKV, avd. för anestesi och intensivvård Lund, Sweden.
authors.forename: Hanna
authors.initials: H
authors.lastname: Nyberg
authors.affiliation: Skånes universitetssjukhus - intensiv och perioperativ vård Lund, Sweden Skånes universitetssjukhus - intensiv och perioperativ vård Lund, Sweden.
authors.forename: Carolina
authors.initials: C
authors.lastname: Samuelsson
authors.affiliation: Skånes universitetssjukhus - Intensiv och perioperativ vård Lund, - Lund, Sweden.
authors.forename: Attila
authors.initials: A
authors.lastname: Frigyesi
mesh_terms: D000368:Aged; D015331:Cohort Studies; D003422:Critical Care / Q000706:statistics & numerical data*; D000066891:Critical Care Outcomes; D005260:Female; D006323:Heart Arrest / Q000401:mortality; D017052:Hospital Mortality; D006801:Humans; D007362:Intensive Care Units / Q000706:statistics & numerical data*; D008297:Male; D008875:Middle Aged; D012737:Sex Factors; D012772:Shock, Septic / Q000401:mortality; D013548:Sweden / Q000453:epidemiology