Recommended Citation
Papa L, Cienki JJ, Wilson JW, Axline V, Coyle EA, Earwood RC, Thundiyil JG, and Ladde JG. Sex Differences in Neurological Emergencies Presenting to Multiple Urban Level 1 Trauma Centers. Neurotrauma Rep 2023; 4(1):605-612.
Document Type
Article
Publication Date
9-21-2023
Publication Title
Neurotrauma Rep
Abstract
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.
PubMed ID
37731649
Volume
4
Issue
1
First Page
605
Last Page
612
