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Does Gender Impact Intensity of Care Provided to Older Medical Intensive Care Unit Patients?
Joint Authors
Van Ness, Peter H.
Akgün, Kathleen M.
Pisani, Margaret
Murphy, Terrence E.
Araujo, Katy L. B.
Source
Critical Care Research and Practice
Issue
Vol. 2010, Issue 2010 (31 Dec. 2010), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2010-10-20
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Introduction.
Women receive less aggressive critical care than men based on prior studies.
No documented studies evaluate whether men and women are treated equally in the medical intensive care unit (MICU).
The Therapeutic Intervention Scoring System-28 (TISS-28) has been used to examine gender differences in mixed ICU studies.
However, it has not been used to evaluate equivalence of care in older MICU patients.
We hypothesize that given nonsignificant, baseline health differences between genders at MICU admission, the level of care provided would be equivalent.
Methods.
Prospective cohort of 309 patients ≥60 years old in the MICU of an urban university teaching hospital.
Explanatory variables were demographic data and baseline measures.
Primary outcomes were TISS-28 scores and MICU interventions.
We compare TISS-28 scores by gender using a statistical test of equivalence.
Results.
Women were older and had more chronic respiratory failure at MICU admission.
Using equivalence limits of ±15% on gender-based scores of TISS-28, MICU interventions were equivalent.
Supplementary analysis showed no statistically significant association between gender and mortality.
Conclusions.
In contrast with other reports from the cardiac critical care literature, as measured by the TISS-28, gender-based care delivered to older MICU patients in this cohort was equivalent.
American Psychological Association (APA)
Akgün, Kathleen M.& Murphy, Terrence E.& Araujo, Katy L. B.& Van Ness, Peter H.& Pisani, Margaret. 2010. Does Gender Impact Intensity of Care Provided to Older Medical Intensive Care Unit Patients?. Critical Care Research and Practice،Vol. 2010, no. 2010, pp.1-8.
https://search.emarefa.net/detail/BIM-469393
Modern Language Association (MLA)
Akgün, Kathleen M.…[et al.]. Does Gender Impact Intensity of Care Provided to Older Medical Intensive Care Unit Patients?. Critical Care Research and Practice No. 2010 (2010), pp.1-8.
https://search.emarefa.net/detail/BIM-469393
American Medical Association (AMA)
Akgün, Kathleen M.& Murphy, Terrence E.& Araujo, Katy L. B.& Van Ness, Peter H.& Pisani, Margaret. Does Gender Impact Intensity of Care Provided to Older Medical Intensive Care Unit Patients?. Critical Care Research and Practice. 2010. Vol. 2010, no. 2010, pp.1-8.
https://search.emarefa.net/detail/BIM-469393
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-469393