Evidence map›Paper›PMID 30360757›Full record

ReviewMilitary Medical Research2018

Gender differences in trauma, shock and sepsis.

Florian Bösch, Martin K Angele, Irshad H Chaudry

Registry-linked trialOpen access · diamondAbstract readReview
In one paragraph

Review in Military Medical Research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04815811 (Study of the Sex Differences in Inflammatory Diseases in Children), which is not on this map. Cited by 86 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
86citing papers in PubMed, 2 pooled it
7.8field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04815811 naunknown statusnot on this mapstarted 2019, after this paper: background citation

Study of the Sex Differences in Inflammatory Diseases in Children

TypeinterventionalSponsorQueen Fabiola Children's University HospitalRan2019 to 2023Enrolled160ConditionsSex Differences in Immune Response, Acute Inflammatory Diseases in ChildrenArmsBlood collection, Stool collection
3 · Its place in the literature

Who cites it

86 citing papers in PubMed, 2 syntheses or guidelines pooled it, 152 citations in OpenAlex.

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  15. Factors associated with a positive shock index in the prehospital setting after major trauma.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025
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26 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 2 countries.

Florian BöschDepartment of General, Visceral, and Transplant Surgery, Ludwig Maximilians-University Munich, 81377, Munich, Germany.
Martin K AngeleDepartment of General, Visceral, and Transplant Surgery, Ludwig Maximilians-University Munich, 81377, Munich, Germany.
Irshad H ChaudryCenter for Surgical Research and Department of Surgery, University of Alabama at Birmingham, Birmingham, AL, 35294, USA. IChaudry@uab.edu.
Ludwig-Maximilians-Universität München · DEUniversity of Alabama at Birmingham · US

Funding

US DoD Contract #W911QY-15-C-0134
6 · The paper itself

Abstract

Despite efforts in prevention and intensive care, trauma and subsequent sepsis are still associated with a high mortality rate. Traumatic injury remains the main cause of death in people younger than 45 years and is thus a source of immense social and economic burden. In recent years, the knowledge concerning gender medicine has continuously increased. A number of studies have reported gender dimorphism in terms of response to trauma, shock and sepsis. However, the advantageous outcome following trauma-hemorrhage in females is not due only to sex. Rather, it is due to the prevailing hormonal milieu of the victim. In this respect, various experimental and clinical studies have demonstrated beneficial effects of estrogen for the central nervous system, the cardiopulmonary system, the liver, the kidneys, the immune system, and for the overall survival of the host. Nonetheless, there remains a gap between the bench and the bedside. This is most likely because clinical studies have not accounted for the estrus cycle. This review attempts to provide an overview of the current level of knowledge and highlights the most important organ systems responding to trauma, shock and sepsis. There continues to be a need for clinical studies on the prevailing hormonal milieu following trauma, shock and sepsis.

Indexed as

Sex CharacteristicsAnimalsEstrogensFemaleHemorrhageHumansImmune SystemMaleMultiple Organ FailureSepsisShock, TraumaticWounds and InjuriesEstrogensCardiopulmonary bypassEstrogensGender morphismHormonal milieuTrauma-hemorrhage

Identifiers

PMID30360757
PMCPMC6203206
OpenAlexW2896525402

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.