Citation

Pompermaier L, Elmasry M, Abdelrahman I, Fredrikson M, Sjöberg F, Steinvall I. Burns Trauma 2018; 6: e22.

Affiliation

2Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden.

Copyright

(Copyright © 2018, Institute of Burn Research, Southwest Hospital, Third Military Medical University, China, Publisher Holtzbrinck Springer Nature Publishing Group - BMC)

DOI

10.1186/s41038-018-0125-0

PMID

30123802

PMCID

PMC6088398

Abstract

BACKGROUND: Disparity between medical treatment for men and women has been recorded worldwide. However, it is difficult to find out if the disparities in both the use of resources and outcome depend entirely on sex-related discrimination. Our aim was to investigate if there are differences in burn treatments between the sexes.

METHODS: All patients admitted with burns to Linköping University Hospital during the 16-year period 2000-2015 were included. Interventions were prospectively recorded using the validated Burn SCoring system (BSC). Data were analysed using a multivariable panel regression model adjusted for age, percentage total body surface area (%TBSA), and in-hospital mortality.

RESULTS: A total of 1363 patients were included, who generated a total of 22,301 daily recordings while they were inpatients. Males were 70% (930/1363). Sex was not an independent factor for daily scores after adjustment for age, %TBSA, and mortality in hospital (model R²=0.60, p < 0.001).

CONCLUSION: We found no evidence of inequity between the sexes in treatments given in our burn centre when we had adjusted for size of burn, age, and mortality. BSC seems to be an appropriate model in which to evaluate sex-related differences in the delivery of treatments.

Language: en

Keywords

Burn care; Intervention score; Sex; Trauma model; Workload