Gender discrepancy in patients with traumatic brain injury: a rStudy from a level 1 trauma center
Fecha
2022-08-18Autor
El-Menyar, Ayman
Mekkodathil, Ahammed
Verma, Vishwajit
Wahlen, Bianca M.
Peralta, Ruben
Taha, Ibrahim
Hakim, Suhail
Al-Thani, Hassan
Metadatos
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The objective of this study is to explore the gender discrepancy in patients with traumatic brain injury (TBI). Methods.
A retrospective analysis of Qatar Trauma Registry (QTR) was conducted among patients (age ≥14y) who were hospitalized with
TBI. Data were collected and analyzed based on the gender and age. Results. Over 5 years (2014-2019), 9, 309 trauma patients
(90% males and 10% females) were admitted to the trauma center. Of these, 1, 620 (17.4%) patients were hospitalized with TBI
(94% males and 6% females). Motor vehicle crash was the main mechanism of injury (MOI) in females, and fall from height
was predominant among males. Subdural hematoma (SDH) was the more frequent type of TBI in both genders, but it was
more prevalent in male patients ≥55 years. Injury severity score, Glasgow coma scale, and head abbreviated injury score were
comparable between males and females. The length of stay in the ICU and hospital and mortality were similar in both genders.
However, mortality was higher among males ≥55 years when compared to 14-54 years within the same gender (21% vs. 12%,
p = 0:002). The crude and adjusted odds ratio did not show that gender is a significant predictor of mortality among TBI
patients. Conclusions. Although the incidence and MOI of TBI show significant differences between male and female patients,
the severity and outcomes are comparable.
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