ArticleIntensive care medicine2021
Gender differences in the provision of intensive care: a Bayesian approach.
Article in Intensive care medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 2 of them syntheses that pooled it.
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Who cites it
51 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Sex-related differences in end-of-life decision-making in patients with traumatic brain injury: a systematic review and meta-analysis.BMC palliative care · 2026Pooled it
- Sex and gender considerations in randomized controlled trials in critical care nephrology: a meta-epidemiologic study.BMC medicine · 2025Pooled it
- Comparison of Emergency Department Processes and Intensive Care Unit Admissions Between the Local Population and Refugees in Türkiye: A Retrospective Observational Study.Healthcare (Basel, Switzerland) · 2026Article
- Impact of Different COVID-19 Pandemic Phases on Emergency Department Length of Stay and Intensive Care Unit Admission Risk: Single-Center Retrospective Cohort Study.JMIR public health and surveillance · 2026Article
- Timing matters: sex differences in treatment limitation decisions in intensive care.Critical care (London, England) · 2026Article
- Admission Biomarkers as Predictors of Mortality in Comatose Patients in the Intensive Care Unit: A Retrospective Pilot Study.Diagnostics (Basel, Switzerland) · 2026Article
- Age-related sex differences in intensive care treatment and outcomes: a nationwide cohort study.British journal of anaesthesia · 2026Article
- 'Aint We Women?' A Narrative Review of Intensive and Acute Care Experiences of Black Women Through an Intersectional Lens.Nursing in critical care · 2026Review
- Management and outcomes in women and men weaning from invasive mechanical ventilation: insights from the WEAN SAFE study.Annals of intensive care · 2026Article
- Postoperative adverse events after spinal surgery: Sex-specific risk profiles and ICU utilization.Brain & spine · 2026Article
- Gender predictors of adverse health.Journal of health psychology · 2026Article
- Sex differences in sepsis outcomes across the lifespan: a population-based cohort study in Germany.Critical care (London, England) · 2025Article
- Angiotensin II, conventional vasopressor therapy, and mortality in shock: a large, multicenter, propensity score-weighted analysis.Annals of intensive care · 2025Article
- Sex differences in advance directives and their clinical translation among critically ill adults: results from the ADVISE study.Annals of intensive care · 2025Article
- Ranking Nursing Diagnoses by Predictive Relevance for Intensive Care Unit Transfer Risk in Adult and Pediatric Patients: A Machine Learning Approach with Random Forest.Healthcare (Basel, Switzerland) · 2025Article
- Acute Care Use and Prognosis in Older Adults Presenting to the Emergency Department.Journal of pain and symptom management · 2025Article
- Gender-Based Differences in COPD Patients with Type 2 Respiratory Failure-Impact on Clinical Practice.Medicina (Kaunas, Lithuania) · 2025Observational
- Sex Differences in the Participation in Secondary Prevention Stroke Studies.Journal of the American Heart Association · 2025Article
- Sex disparities in ICU care and outcomes after cardiac arrest: a Swiss nationwide analysis.Critical care (London, England) · 2025Article
- Age- and sex-specific differences in myocardial sympathetic tone and left ventricular remodeling following myocardial injury.Biology of sex differences · 2025Article
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17 authors.
Funding
Abstract
purposeIt is currently unclear whether management and outcomes of critically ill patients differ between men and women. We sought to assess the influence of age, sex and diagnoses on the probability of intensive care provision in critically ill cardio- and neurovascular patients in a large nationwide cohort in Switzerland.
methodsRetrospective analysis of 450,948 adult patients with neuro- and cardiovascular disease admitted to all hospitals in Switzerland between 01/2012 and 12/2016 using Bayesian modeling.
resultsFor all diagnoses and populations, median ages at admission were consistently higher for women than for men [75 (64;82) years in women vs. 68 (58;77) years in men, p < 0.001]. Overall, women had a lower likelihood to be admitted to an intensive care unit (ICU) than men, despite being more severely ill [odds ratio (OR) 0.78 (0.76-0.79)]. ICU admission probability was lowest in women aged > 65 years (OR women:men 0.94 (0.89-0.99), p < 0.001). Women < 45 years had a similar ICU admission probability as men in the same age category [OR women:men 1.03 (0.94-1.13)], in spite of more severe illness. The odds to die were significantly higher in women than in men per unit increase in Simplified Acute Physiology Score (SAPS) II (OR 1.008 [1.004-1.012]).
conclusionIn the care of the critically ill, our study suggests that women are less likely to receive ICU treatment regardless of disease severity. Underuse of ICU care was most prominent in younger women < 45 years. Although our study has several limitations that are imposed by the limited data available from the registries, our findings suggest that current ICU triage algorithms could benefit from careful reassessment. Further, and ideally prospective, studies are needed to confirm our findings.
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