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dc.contributorModra, Lucyen_US
dc.contributorHiggins, Alisaen_US
dc.contributorPilcer, Daviden_US
dc.contributorBailey, Michaelen_US
dc.contributorBellomo, Rinaldoen_US
dc.descriptionIncludes data from BHS and WHCGen_US
dc.description.abstractRationale: Women have worse outcomes than men in several conditions more common in men, including cardiac surgery and burns. Objectives: To describe the relationship between sex balance within each diagnostic group of ICU admissions, defined as the percentage of patients who were women, and hospital mortality of women compared with men with that same diagnosis. Methods: We studied ICU patients in the Australian and New Zealand Intensive Care Society's Adult Patient Database (2011-2020). We performed mixed effects logistic regression for hospital mortality adjusted for sex, illness severity, ICU lead time, admission year, and hospital site. We compared sex balance with the adjusted hospital mortality of women compared with men for each diagnosis using weighted linear regression. Measurements and Main Results: There were 1,450,782 admissions (42.1% women), with no difference in the adjusted hospital mortality of women compared with men overall (odds ratio, 0.99; 99% confidence interval [CI], 0.97 to 1). As the percentage of women within each diagnosis increased, the adjusted mortality of women compared with men with that same diagnosis decreased (regression coefficient, -0.015; 99% CI; -0.020 to -0.011; P < 0.001), and the illness severity of women compared with men at ICU admission decreased (regression coefficient, -0.0026; 99% CI, -0.0035 to -0.0018; P < 0.001). Conclusions: Sex balance in diagnostic groups was inversely associated with both the adjusted mortality and illness severity of women compared with men. In diagnoses with relatively few women, women were more likely than men to die. In diagnoses with fewer men, men were more likely than women to die.en_US
dc.description.provenanceSubmitted by Gemma Siemensma ( on 2023-02-10T04:34:15Z No. of bitstreams: 0en
dc.description.provenanceApproved for entry into archive by Gemma Siemensma ( on 2023-02-20T04:50:00Z (GMT) No. of bitstreams: 0en
dc.description.provenanceMade available in DSpace on 2023-02-20T04:50:00Z (GMT). No. of bitstreams: 0 Previous issue date: 2022en
dc.titleSex differences in mortality of ICU patients according to diagnosis-related sex balance.en_US
dc.typeJournal Articleen_US
dc.bibliographicCitation.titleAmerican Journal of Respiratory and Critical Care Medicineen_US
dc.subject.healththesaurusSEX FACTORSen_US
dc.subject.healththesaurusILLNESS SEVERITYen_US
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