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The impact of Sex on Survival of Unintentional Trauma in South Korea: retrospective, observational, case-control study.
Clinical and Experimental Emergency Medicine 2023 June 3
OBJECTIVE: This study aimed to describe the relationship between sex and survival in patients with unintentional trauma.
METHOD: This retrospective, national population-based observational, case-control study involved a collection of Korean traumatic patients who were transferred to the emergency department by a Korean emergency medical service from January 1, 2018, to December 31, 2018. Propensity Score Matching was used. The primary outcome was survival until hospital discharge.
RESULTS: Of 25,743 patients with unintentional trauma, 17,771 were male and 7,972 were female. Prior to propensity score matching, there was no sex difference in survival (92.6% vs 93.1%, p=0.105). After adjustment for confounders by propensity score matching, there was still no sex difference in survival (93.6% vs 93.1%).
CONCLUSIONS: There was no sex effect on the survival of patients with severe trauma. Further studies with patients of reproductive age and a greater population are needed to analyze the effect of estrogen on survival in patients with trauma.
METHOD: This retrospective, national population-based observational, case-control study involved a collection of Korean traumatic patients who were transferred to the emergency department by a Korean emergency medical service from January 1, 2018, to December 31, 2018. Propensity Score Matching was used. The primary outcome was survival until hospital discharge.
RESULTS: Of 25,743 patients with unintentional trauma, 17,771 were male and 7,972 were female. Prior to propensity score matching, there was no sex difference in survival (92.6% vs 93.1%, p=0.105). After adjustment for confounders by propensity score matching, there was still no sex difference in survival (93.6% vs 93.1%).
CONCLUSIONS: There was no sex effect on the survival of patients with severe trauma. Further studies with patients of reproductive age and a greater population are needed to analyze the effect of estrogen on survival in patients with trauma.
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