Evidence map›Paper›PMID 41832484›Full record

SynthesisBMC public health2026

Gender disparities in hospital admission patterns during the COVID-19 health emergency: a systematic review.

Nahikari Vizuete-Aldave, Haritz Arrieta, Idoia Zarrazquin, Maider Kortajarena, Ainitze Labaka

Abstract readSystematic Review
In one paragraph

Synthesis in BMC public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Nahikari Vizuete-AldaveDepartment of Nursing II, Faculty of Medicine and Nursing, University of the Basque Country (UPV/EHU), Begiristain Doktorea Pasealekua 105, Donostia-San Sebastián, Gipuzkoa, E- 20014, Spain.
Haritz ArrietaDepartment of Nursing II, Faculty of Medicine and Nursing, University of the Basque Country (UPV/EHU), Begiristain Doktorea Pasealekua 105, Donostia-San Sebastián, Gipuzkoa, E- 20014, Spain. haritz.arrieta@ehu.eus.
Idoia ZarrazquinDepartment of Nursing II, Faculty of Medicine and Nursing, University of the Basque Country (UPV/EHU), Begiristain Doktorea Pasealekua 105, Donostia-San Sebastián, Gipuzkoa, E- 20014, Spain.
Maider KortajarenaDepartment of Nursing II, Faculty of Medicine and Nursing, University of the Basque Country (UPV/EHU), Begiristain Doktorea Pasealekua 105, Donostia-San Sebastián, Gipuzkoa, E- 20014, Spain.
Ainitze LabakaDepartment of Nursing II, Faculty of Medicine and Nursing, University of the Basque Country (UPV/EHU), Begiristain Doktorea Pasealekua 105, Donostia-San Sebastián, Gipuzkoa, E- 20014, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSex/gender differences influence health outcomes, healthcare access, and hospital use. The COVID-19 pandemic disrupted health systems and may have exacerbated existing disparities. This systematic review was conducted to examine whether sex/gender disparities exist across diagnostic categories and hospital admission routes, and to determine whether these differences were altered following the declaration of the COVID-19 pandemic.

methodsThis review was conducted according to the PRISMA guidelines. Searches were conducted in PubMed, Web of Science and Cochrane Library to identify studies published in English or Spanish between 2020 and 2024 examining hospital admissions before and during the COVID-19 pandemic, with sex-disaggregated data.

resultsA total of 41 studies met the inclusion criteria, revealing gender-related differences in hospital admissions during the pandemic. The articles were classified according to ICD-10 chapters. During the pandemic, among adults and across all age groups, there was a notable increase in hospitalisations among women for acute burns, alcohol-associated hepatitis, resected lung cancer, malignant melanoma, and others. Women also showed increased emergency visits for infections, mental health problems, and injuries. In contrast, men experienced an increase in admissions for gastrointestinal bleeding. Additionally, studies reported rises in sexual abuse of girls, higher self-harm rates among boys, and more admissions for mental health problems among girls.

conclusionsThis systematic review identified differences in hospital admissions for various conditions and highlighted social and health inequalities exacerbated by lockdown. These findings undersore the importance of integrating a gender perspective into public health strategies and responses during health emergencies.

trial registrationThe review protocol was registered with the International Prospective Register of Systematic Reviews (PROSPERO) on 22 August 2025 (CRD420251038282).

Indexed as

COVID-19Healthcare DisparitiesHealth Status DisparitiesHospitalizationPatient AdmissionFemaleHumansMalePandemicsSARS-CoV-2Sex FactorsCOVID-19 pandemicEquity.Gender differencesHospital admission

Identifiers

PMID41832484
PMCPMC13101203

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.