Evidence map›Paper›PMID 31709536›Full record

Observational studyHealth services research2020

Examining mechanisms for gender differences in admission to intensive care units.

Andrea Hill, Clare Ramsey, Peter Dodek, Jean Kozek, Randy Fransoo, Robert Fowler, Malcolm Doupe, Hubert Wong, Damon Scales, Allan Garland

Abstract readComparative StudyObservational Study
In one paragraph

Observational study in Health services research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–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

11 citing papers in PubMed.

  1. Article
  2. Differences in admission to trauma centres by sex among adults with traumatic brain injury: a population-based cohort study.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2026
    Article
  3. Observational
  4. Article
  5. Article
  6. Article
  7. Article
  8. Ableism in the intensive care unit.Intensive care medicine · 2023
    Article
  9. Article
  10. Article
  11. Observational
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

10 authors.

Andrea HillSunnybrook Health Sciences Centre, Toronto, ON, Canada.
Clare RamseyDepartment of Medicine, University of Manitoba, Winnipeg, MB, Canada.
Peter DodekCenter for Health Evaluation and Outcome Sciences, University of British Columbia, Vancouver, BC, Canada.
Jean KozekDepartment of Family and Community Medicine, Providence Health Care, Vancouver, BC, Canada.
Randy FransooManitoba Centre for Health Policy, University of Manitoba, Winnipeg, MB, Canada.
Robert FowlerSunnybrook Health Sciences Centre, Toronto, ON, Canada.
Malcolm DoupeDepartment of Community Health Sciences, University of Manitoba, Winnipeg, MB, Canada.
Hubert WongCIHR Canadian HIV Trials Network, Vancouver, BC, Canada.
Damon ScalesSunnybrook Health Sciences Centre, Toronto, ON, Canada.
Allan GarlandDepartment of Medicine, University of Manitoba, Winnipeg, MB, Canada.ORCID 0000-0001-7129-936X

Funding

CIHR 2013-RFP2012-19-07
6 · The paper itself

Abstract

objectiveTo evaluate whether the male predominance of older people admitted to intensive care units (ICUs) is due to gender differences in the presence of spouses, partners, or children; rates of gender-specific disease; or triage decisions made by health system personnel. DATA SOURCES AND COLLECTION: Three population-based datasets, 2004-2012, of Canadians ≥65 years: provincial health care data from Manitoba (n = 250 190) and national data of nursing home residents (n = 133 982) and community-based homecare recipients (n = 210 090). STUDY

designRetrospective observational study, using multivariable Cox proportional hazards and logistic regression. PRINCIPAL

findingsMales predominated in ICU admissions: from Manitoba (hazard ratio [HR] = 1.87, 95% CI = 1.80-1.95), nursing homes (HR = 1.47, 1.35-1.60), and homecare (odds ratio = 1.14, 1.11-1.17). Adjustment for spouses, partners, and children did not attenuate this effect. The HR for gender was lower by 13.5 percent, relative, after excluding ICU care for cardiac causes. Male predominance was not present during a second ICU admission among survivors of a first ICU-containing hospitalization (HR = 1.07, 0.96-1.20).

conclusionsIn three older cohorts, the male predominance of ICU admission was not explained by gender differences in the presence of a spouse, partner, or children, or cardiac disease rates. The third finding suggests that triage bias is unlikely to be responsible for the male predominance.

Indexed as

AgedAged, 80 and overCohort StudiesFemaleHumansIntensive Care UnitsMaleManitobaPatient AdmissionProportional Hazards ModelsRetrospective StudiesSex FactorsSexismacute inpatient careepidemiologygender/sex differences in health and health care

Identifiers

PMID31709536
PMCPMC6980949

What OpenQuestion holds

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Read underepoch 390

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.