How did women's distribution of intensive care mortality change before and during the Sars CoV2 pandemic?

Men have a higher hospital mortality rate than women. Although the female advantage in mortality persisted during the pandemic period, little is known about the decline of this advantage. In our study, we examined how the gender distribution of patients admitted to the intensive care unit (ICU) with...

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Bibliographic Details
Published in:Journal of critical care 2024-06, Vol.81, p.154703, Article 154703
Main Authors: Moçin, Özlem Yazıcıoğlu, Adıgüzel, Nalan, Gungor, Sinem, Yilmaz, Bariş, Işcanlı, Inşa Gül Ekiz, Gökşenoğlu, Nezihe Çiftaslan, Kargın, Feyza, Tunçay, Eylem, Takır, Huriye Berk, Ağca, Meltem, Yavuz, Simge, Açar, Cem, Şekerbey, Hamide, Gür, Berk, Taştı, Ömer Faruk, Karakurt, Zuhal, Gungor, Gokay
Format: Article
Language:English
Subjects:
COVID-19
Females
Gender
Intensive care
Mortality
Pandemics
Respiratory failure
Sexes
Women
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Summary:Men have a higher hospital mortality rate than women. Although the female advantage in mortality persisted during the pandemic period, little is known about the decline of this advantage. In our study, we examined how the gender distribution of patients admitted to the intensive care unit (ICU) with acute respiratory failure (ARF) and their mortality changed in the years preceding and during the pandemic of Sars CoV2. The study has designed as a retrospective, observational, cross-sectional investigation in a teaching hospital's ICU of the third level. All ICU patients admitted between 2017 and 2022 were included in the study. 2017 and 2019 have been defined as the pre-pandemic period, while 2020 and 2022 were identified as the pandemic period. The characteristics, comorbidities, causes of ARF, presence of Covid-19 in the pandemic, ICU data, duration of ICU stay, and mortality of the patients were recorded. Patients are divided by sex. Data and mortality rates were compared across sexes and pre- and pandemic periods. Before the pandemic, n = 3867 (females, n = 1257, 32.5%), and during, n = 6099 (females, n = 2163, 35.5%) (p = 0.002). Female patients were 30.9%, 34.1%, 32.4%, 34.7%, 34.5%, and 36.7% from 2017 to 2022 (p = 0.010). Female were older than men (median age 73 vs. 69 and 72 vs. 67, p 
ISSN:0883-9441
1557-8615
DOI:10.1016/j.jcrc.2024.154703