Sex/gender disparities and bias in major trauma care: a scoping review

Details

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UNIL restricted access
State: Public
Version: After imprimatur
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Serval ID
serval:BIB_1567AECAE2EA
Type
A Master's thesis.
Publication sub-type
Master (thesis) (master)
Collection
Publications
Institution
Title
Sex/gender disparities and bias in major trauma care: a scoping review
Author(s)
MARZORATI L.
Director(s)
CARRON P-N.
Codirector(s)
AGERON F-X.
Institution details
Université de Lausanne, Faculté de biologie et médecine
Publication state
Accepted
Issued date
2023
Language
english
Number of pages
28
Abstract
Background
Sex/gender bias and disparities have been highlighted in many studies in clinical medicine. In
emergency medicine, few studies assessed sex/gender disparities in major trauma care. This
scoping review aims to explore sex/gender-based difference in the management of severely
injured patients.
Methods
A systematic literature review was performed in the following electronic databases: Medline Ovid
ALL, Embase, CINAHL with Full Text, Web of Science Core Collection, Cochrane Central Register
of Controlled Trials with search criteria including gender identity / Gender.mp / sex / sex.mp / wounds
and injuries / major trauma.mp. Two reviewers performed the article selection.
Results
Thirty-two full text articles were included in the study. Main topics of interest identifying sex/gender-
based difference were trauma care, trauma centre admission, mechanism of injury, mortality, and
complications. The mechanisms of injury were different between men and women. Women were
more likely to be under-triaged and under-treated. Sex/gender-based difference in mortality was
contradictory between studies.
Conclusion
Women received less trauma care and were less likely transported to a trauma centre. The difference
of mechanism of injury may explain the disparities observed. This scoping review did not find any
evidence supporting that traumatic haemorrhage are less important in women or that female
hormones have a protective effect on mortality.
Keywords
Gender, major trauma, sex disparity, sexism, polytrauma
Create date
25/07/2024 8:15
Last modification date
26/07/2024 6:02
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