Evidence map›Paper›PMID 30871611›Full record

ArticleScandinavian journal of trauma, resuscitation and emergency medicine2019

Female risk-adjusted survival advantage after injuries caused by falls, traffic or assault: a nationwide 11-year study.

Robert Larsen, Denise Bäckström, Mats Fredrikson, Ingrid Steinvall, Rolf Gedeborg, Folke Sjoberg

Abstract read
In one paragraph

Article in Scandinavian journal of trauma, resuscitation and emergency medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. [Longitudinal Transitions of Fall States Based on a Multi-State Markov Model and Their Associated Risk Factors].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2025
    Article
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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

6 authors.

Robert LarsenDepartment of Clinical and Experimental Medicine, Linkoping University, Linkoping, Sweden. robert.larsen@liu.se.ORCID http://orcid.org/0000-0002-9697-4955
Denise BäckströmDepartment of Clinical and Experimental Medicine, Linkoping University, Linkoping, Sweden.
Mats FredriksonDepartment of Clinical and Experimental Medicine, Linkoping University, Linkoping, Sweden.
Ingrid SteinvallDepartment of Hand Surgery, Plastic Surgery and Burns, and Department of Clinical and Experimental Medicine, Linkoping University, Linkoping, Sweden.
Rolf GedeborgDepartment of Surgical Sciences, Anaesthesiology and Intensive Care, Uppsala University, Uppsala, Sweden.
Folke SjobergDepartment of Clinical and Experimental Medicine, Linkoping University, Linkoping, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA female survival advantage after injury has been observed, and animal models of trauma have suggested either hormonal or genetic mechanisms as component causes. Our aim was to compare age and risk-adjusted sex-related mortality in hospital for the three most common mechanisms of injury in relation to hormonal effects as seen by age.

methodsAll hospital admissions for injury in Sweden during the period 2001-2011 were retrieved from the National Patient Registry and linked to the Cause of Death Registry. The International Classification of Diseases Injury Severity Score (ICISS) was used to adjust for injury severity, and the Charlson Comorbidity Index to adjust for comorbidity. Age categories (0-14, 15-50, and ≥ 51 years) were used to represent pre-menarche, reproductive and post- menopausal women.

resultsWomen had overall a survival benefit (OR 0.51; 95% CI 0.50 to 0.53) after adjustment for injury severity and comorbidity. A similar pattern was seen across the age categories (0-14 years OR 0.56 (95% CI 0.25 to 1.25), 15-50 years OR 0.70 (95% CI 0.57 to 0.87), and ≥ 51 years OR 0.49 (95% CI 0.48 to 0.51)).

conclusionIn this 11-year population-based study we found no support for an oestrogen-related mechanism to explain the survival advantage for females compared to males following hospitalisation for injury.

Indexed as

ForecastingPopulation SurveillanceRegistriesAccidental FallsAccidents, TrafficAdolescentAdultAgedAged, 80 and overCause of DeathChildChild, PreschoolFemaleFollow-Up StudiesHospitalizationHumansEpidemiologicalICISSInjuryNationwideRisk-adjusted mortalityTrauma

Identifiers

PMID30871611
PMCPMC6419337

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Registered trials

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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.