Sex Differences in Neurological Emergencies Presenting to Multiple Urban Level 1 Trauma Centers.

Autor:	Papa L; Department of Emergency Medicine, Orlando Regional Medical Center, Orlando, Florida, USA., Cienki JJ; Department of Emergency Medicine, Jackson Memorial Hospital, Miami, Florida, USA., Wilson JW; Division of Emergency Medicine, Morsani College of Medicine, Tampa, Florida, USA., Axline V; Department of Emergency Medicine, Orlando Regional Medical Center, Orlando, Florida, USA., Coyle EA; Department of Emergency Medicine, Henry Ford Health, Detroit, Michigan, USA., Earwood RC; Department of Emergency Medicine, Stony Brook University, Stony Brook, New York, USA., Thundiyil JG; Department of Emergency Medicine, Orlando Regional Medical Center, Orlando, Florida, USA., Ladde JG; Department of Emergency Medicine, Orlando Regional Medical Center, Orlando, Florida, USA.
Jazyk:	angličtina
Zdroj:	Neurotrauma reports [Neurotrauma Rep] 2023 Sep 12; Vol. 4 (1), pp. 605-612. Date of Electronic Publication: 2023 Sep 12 (Print Publication: 2023).
DOI:	10.1089/neur.2023.0050
Abstrakt:	Previous studies have suggested that there are sex differences in the treatment and outcome of neurological emergencies; however, research identifying the role these sex differences play in the management of neurological emergencies is lacking. More knowledge of the way sex factors into the pathophysiology of neurological emergencies will be helpful in improving outcomes for these patients. The aim of this cross-sectional study was to assess the prevalence and management of neurological emergencies while evaluating sex differences in the diagnosis and treatment of these emergencies. We analyzed a cohort of 530 adult patients from four level 1 trauma centers over a period of 4 weeks who had a chief complaint of a neurological emergency, including seizures, cerebrovascular events, headache disorders, traumatic brain injuries, and central nervous system infections. Among patients with neurological emergencies, a significantly lower proportion of female patients underwent neurosurgery and were admitted to the intensive care unit compared to male patients, but there were no significant differences between sexes in the time of symptom onset, type of hospital transportation, amount of neuroimaging performed, admission rates, hospital length of stay, and disposition from the emergency department. Although female patients were more likely to have a chief complaint of headache compared to traumatic injuries in male patients, this was not statistically significant. A significantly higher proportion of female patients had health insurance coverage than male patients. Competing Interests: No competing financial interests exist. (© Linda Papa et al., 2023; Published by Mary Ann Liebert, Inc.)
Databáze:	MEDLINE
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