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Sex-specific outcom...
Sex-specific outcome disparities in very old patients admitted to intensive care medicine: a propensity matched analysis
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- Wernly, B (författare)
- Paracelsus Med Univ, Austria; Karolinska Univ Hosp, Sweden
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- Bruno, RR (författare)
- Univ Hosp, Germany
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- Kelm, M (författare)
- Univ Hosp, Germany
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- Boumendil, A (författare)
- Hop St Antoine, France
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- Morandi, A (författare)
- Hosp Ancelle Di Cremona, Italy; Geriatr Res Grp, Italy
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- Andersen, FH (författare)
- Alesund Hosp, Norway; NTNU, Norway,Univ Bergen, Norway; Haukeland Hosp, Norway
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- Artigas, A (författare)
- Autonomous Univ Barcelona, Spain; Univ Hosp Sagrado Corazon & Gen Catalunya, Spain
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- Finazzi, S (författare)
- IRCCS Ist Ric Farmacol Mario Negri, Italy
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- Cecconi, M (författare)
- Humanitas Univ, Italy
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- Christensen, S (författare)
- Aarhus Univ Hosp, Denmark,Bern Univ Hosp, Switzerland
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- Faraldi, L (författare)
- Grande Osped Metropolitano Niguarda, Italy
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- Lichtenauer, M (författare)
- Paracelsus Med Univ, Austria
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- Muessig, JM (författare)
- Univ Hosp, Germany,Med Univ Innsbruck, Austria
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- Marsh, B (författare)
- Misericordiae Univ Hosp, Ireland
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- Moreno, R (författare)
- Ctr Hosp Univ Lisboa Cent, Portugal
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- Oeyen, S (författare)
- Ghent Univ Hosp, Belgium
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- Ohman, CA (författare)
- Karolinska Institutet,Karolinska Univ Hosp, Sweden
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- Pinto, BB (författare)
- Geneva Univ Hosp, Switzerland
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- Soliman, IW (författare)
- Univ Utrecht, Netherlands
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- Szczeklik, W (författare)
- Jagiellonian Univ Med Coll, Poland
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- Niederseer, D (författare)
- Univ Zurich, Switzerland
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- Valentin, A (författare)
- Kardinal Schwarzenberg Hosp, Austria
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- Watson, X (författare)
- St Georges Univ Hosp, England
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- Leaver, S (författare)
- St George Hosp, England
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- Boulanger, C (författare)
- Royal Devon & Exeter NHS Fdn Trust, England
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- Walther, Sten (författare)
- Linköpings universitet,Avdelningen för diagnostik och specialistmedicin,Medicinska fakulteten,Region Östergötland, Thorax-kärlkliniken i Östergötland
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- Schefold, JC (författare)
- Univ Hosp, Germany
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Joannidis, M (författare)
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- Nalapko, Y (författare)
- ICU, Ukraine
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- Elhadi, M (författare)
- Alkhums Hosp, Libya
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- Fjolner, J (författare)
- Aarhus Univ Hosp, Denmark
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- Zafeiridis, T (författare)
- Gen Hosp Larissa Tsakalof Lariss, Greece
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- De Lange, DW (författare)
- Univ Utrecht, Netherlands
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- Guidet, B (författare)
- Hop St Antoine, France; Sorbonne Univ, France; INSERM, France
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Flaatten, H (författare)
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Jung, C (författare)
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(creator_code:org_t)
- 2020-10-29
- 2020
- Engelska.
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Ingår i: Scientific reports. - : Springer Science and Business Media LLC. - 2045-2322. ; 10:1, s. 18671-
- Relaterad länk:
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https://www.nature.c...
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https://liu.diva-por... (primary) (Raw object)
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http://kipublication...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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Abstract
Ämnesord
Stäng
- Female and male very elderly intensive patients (VIPs) might differ in characteristics and outcomes. We aimed to compare female versus male VIPs in a large, multinational collective of VIPs with regards to outcome and predictors of mortality. In total, 7555 patients were included in this analysis, 3973 (53%) male and 3582 (47%) female patients. The primary endpoint was 30-day-mortality. Baseline characteristics, data on management and geriatric scores including frailty assessed by Clinical Frailty Scale (CFS) were documented. Two propensity scores (for being male) were obtained for consecutive matching, score 1 for baseline characteristics and score 2 for baseline characteristics and ICU management. Male VIPs were younger (83 ± 5 vs. 84 ± 5; p < 0.001), less often frail (CFS > 4; 38% versus 49%; p < 0.001) but evidenced higher SOFA (7 ± 6 versus 6 ± 6 points; p < 0.001) scores. After propensity score matching, no differences in baseline characteristics could be observed. In the paired analysis, the mortality in male VIPs was higher (mean difference 3.34% 95%CI 0.92–5.76%; p = 0.007) compared to females. In both multivariable logistic regression models correcting for propensity score 1 (aOR 1.15 95%CI 1.03–1.27; p = 0.007) and propensity score 2 (aOR 1.15 95%CI 1.04–1.27; p = 0.007) male sex was independently associated with higher odds for 30-day-mortality. Of note, male gender was not associated with ICU mortality (OR 1.08 95%CI 0.98–1.19; p = 0.14). Outcomes of elderly intensive care patients evidenced independent sex differences. Male sex was associated with adverse 30-day-mortality but not ICU-mortality. Further research to identify potential sex-specific risk factors after ICU discharge is warranted.Trial registration: NCT03134807 and NCT03370692; Registered on May 1, 2017 https://clinicaltrials.gov/ct2/show/NCT03370692.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Allmänmedicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- General Practice (hsv//eng)
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- ref (ämneskategori)
- art (ämneskategori)
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Till lärosätets databas
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Wernly, B
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Bruno, RR
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Kelm, M
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Boumendil, A
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Morandi, A
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Andersen, FH
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Artigas, A
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Finazzi, S
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Cecconi, M
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Christensen, S
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Faraldi, L
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Lichtenauer, M
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Muessig, JM
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Marsh, B
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Moreno, R
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Oeyen, S
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Ohman, CA
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Pinto, BB
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Soliman, IW
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Szczeklik, W
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Niederseer, D
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Valentin, A
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Watson, X
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Leaver, S
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Boulanger, C
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Walther, Sten
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Schefold, JC
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Joannidis, M
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Nalapko, Y
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Elhadi, M
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Fjolner, J
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Zafeiridis, T
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De Lange, DW
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Guidet, B
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Flaatten, H
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Jung, C
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- MEDICIN OCH HÄLSOVETENSKAP
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och Klinisk medicin
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och Allmänmedicin
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Karolinska Institutet
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Linköpings universitet