TY - JOUR
PY - 2022//
TI - Rates of missed injuries in the prehospital setting are unrelated to the gender of the medical provider: a retrospective study
JO - Israel medical association journal : IMAJ
A1 - Segal, David
A1 - Shakarchy-Kaminsky, Nitzan
A1 - Zloof, Yair
A1 - Talmy, Tomer
A1 - Shapiro, Galina
A1 - Radomislensky, Irina
A1 - Tsur, Avishai M.
A1 - Gelikas, Shaul
A1 - Karp, Erez
A1 - Benov, Avi
SP - 606
EP - 611
VL - 24
IS - 9
N2 - BACKGROUND: Medical organizations worldwide aim for equity and diversity in the medical profession to improve care quality. Data on whether the caregiver gender affects outcomes in the prehospital setting are essential but scarce compared to available in-hospital studies.
OBJECTIVES: To analyze the rates of missed injuries in the prehospital setting and determine whether these rates were associated with the gender of the on-field physician or paramedic.
METHODS: A retrospective record review was conducted, which included trauma records documented in two trauma registries, the prehospital Israel Defense Forces-Trauma Registry (IDF-TR), and the in-hospital Israeli National Trauma Registry (INTR). Missed injuries were defined as injuries documented in the INTR but not in the IDF-TR. A multivariable regression analysis was performed to assess the association between provider's gender and missed injuries.
RESULTS: Of 490 casualties, 369 (75.3%) were treated by teams that included only male paramedics or physicians. In 386 (78.8%) cases, a physician was a part of the prehospital team. In all, 94 (19.2%) casualties sustained injuries that were missed by the prehospital medical team. Missed injuries were not associated with the gender of the paramedic or physician (odds ratio 1.242, 95% confidence interval 0.69-2.193).
CONCLUSIONS: No association was found between the gender of the medical provider in the prehospital setting and the rate of missed injuries. These results should encourage prehospital emergency medical systems to aim for a balanced and diverse caregiver population.
Language: en
LA - en SN - 1565-1088 UR - http://dx.doi.org/ ID - ref1 ER -