Sex Differences in Neurological Emergencies Presenting to Multiple Urban Level 1 Trauma Centers
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 pathophy...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Mary Ann Liebert
2023-09-01
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| Series: | Neurotrauma Reports |
| Subjects: | |
| Online Access: | https://www.liebertpub.com/doi/full/10.1089/NEUR.2023.0050 |
| _version_ | 1797346153287647232 |
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| author | Linda Papa John J. Cienki Jason W. Wilson Virginia Axline Emily A. Coyle Ryan C. Earwood Josef G. Thundiyil Jay G. Ladde Collaboration group Collaboration group |
| author_facet | Linda Papa John J. Cienki Jason W. Wilson Virginia Axline Emily A. Coyle Ryan C. Earwood Josef G. Thundiyil Jay G. Ladde Collaboration group Collaboration group |
| author_sort | Linda Papa |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-08T11:28:52Z |
| format | Article |
| id | doaj.art-3deb10ecd98349bc9c5e048f2472ceee |
| institution | Directory Open Access Journal |
| issn | 2689-288X |
| language | English |
| last_indexed | 2024-03-08T11:28:52Z |
| publishDate | 2023-09-01 |
| publisher | Mary Ann Liebert |
| record_format | Article |
| series | Neurotrauma Reports |
| spelling | doaj.art-3deb10ecd98349bc9c5e048f2472ceee2024-01-26T04:39:25ZengMary Ann LiebertNeurotrauma Reports2689-288X2023-09-014160561210.1089/NEUR.2023.0050Sex Differences in Neurological Emergencies Presenting to Multiple Urban Level 1 Trauma CentersLinda PapaJohn J. CienkiJason W. WilsonVirginia AxlineEmily A. CoyleRyan C. EarwoodJosef G. ThundiyilJay G. LaddeCollaboration groupCollaboration group0for the Florida Alliance for Research in Emergency Medicine (FLARE-EM) InvestigatorsPrevious 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.https://www.liebertpub.com/doi/full/10.1089/NEUR.2023.0050emergency departmentneurological emergenciesmigraineseizuressexstroke |
| spellingShingle | Linda Papa John J. Cienki Jason W. Wilson Virginia Axline Emily A. Coyle Ryan C. Earwood Josef G. Thundiyil Jay G. Ladde Collaboration group Collaboration group Sex Differences in Neurological Emergencies Presenting to Multiple Urban Level 1 Trauma Centers Neurotrauma Reports emergency department neurological emergencies migraine seizures sex stroke |
| title | Sex Differences in Neurological Emergencies Presenting to Multiple Urban Level 1 Trauma Centers |
| title_full | Sex Differences in Neurological Emergencies Presenting to Multiple Urban Level 1 Trauma Centers |
| title_fullStr | Sex Differences in Neurological Emergencies Presenting to Multiple Urban Level 1 Trauma Centers |
| title_full_unstemmed | Sex Differences in Neurological Emergencies Presenting to Multiple Urban Level 1 Trauma Centers |
| title_short | Sex Differences in Neurological Emergencies Presenting to Multiple Urban Level 1 Trauma Centers |
| title_sort | sex differences in neurological emergencies presenting to multiple urban level 1 trauma centers |
| topic | emergency department neurological emergencies migraine seizures sex stroke |
| url | https://www.liebertpub.com/doi/full/10.1089/NEUR.2023.0050 |
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