Gender-based differences in children with sepsis and ARDS

Autor: Bindl, L., Buderus, S., Dahlem, P., Demirakca, S., Goldner, M., Huth, R., Kohl, M., Krause, M., Kuhl, P., Lasch, P., Lewandowski, K., Merz, U., Moeller, J., Mohamad, Y., Peters, M., Porz, W., Vierzig, A., Ruchard, J., Scharf, J., Varnholt, V.
Přispěvatelé: Publica
Jazyk: angličtina
Rok vydání: 2003
Popis: Male gender predisposes to severe sepsis and septic shock. This effect has been ascribed to higher levels of testosterone. The ESPNIC ARDS database was searched, to determine if there was evidence of a similar male preponderance in severe sepsis in prepubertal patients in spite of low levels of male sex hormones at this age. A total of 72 patients beyond neonatal age up to 8 years of age with sepsis were identified. The male/female (M/F) ratio was 1.7 (1.0;2.7) and differed significantly from non-septic ARDS patients in this age group [n = 209; M/F = 1.0 (0.8;1.3)]. The highest M/F-ratio was observed in the first year of life. The gender-ratio was the same as reported in adult patients with sepsis. In infants between 1 month and 12 months of age, the ratio was 2.8 (1.2;6.1) (Chi2= 5.6; P< 0.01), in children from 1 year to 8 years of age it was 1.2 (0.7;2.2) (n.s.). In a subgroup of patients with severe sepsis or septic shock, caused by other bacteria than Neisseria meningitidis, the M/F-ratio was 2.1 (1.2;3.6) (Chi2= 4.9; P
Databáze: OpenAIRE