美国紧急医疗住院人员按性别进行程序报告的差异
Michael Gottlieb1, Alexandra Mannix2, Eric Shappell3
1is Vice Chair of Research, Ultrasound Division Director, and Associate Professor, Department of Emergency Medicine, Rush University Medical Center, Chicago, Illinois, USA.
紧急医疗的男性住院医生报告说,他们比女性住院医生做更多的脱位减轻,胸管插入和镇静. 这项研究强调了在住院培训期间的程序经验中潜在的性别差异.
科学领域:
- 医学教育 医学教育
- 紧急医疗 紧急医疗
- 健康差异 在健康上的差异
背景情况:
- 性别差异被记录在医学反,评估和跨专业的手术病例中.
- 有限的数据存在关于基于性别的差异在居民执行的程序的数量.
研究的目的:
- 量化性别和紧急医疗 (EM) 居民完成的手术数量之间的关联.
- 调查在EM居留计划中的程序培训中可能存在的基于性别的差异.
主要方法:
- 从8个不同的项目中 (2013-2022) 毕业的EM居民的程序数据的回顾性审查.
- 分析包括880名居民 (40.7%的女性,59.3%的男性),使用线性回归比较按性别计算程序数量.
- 灵敏度分析排除了从平均值中超过3个标准偏差的程序总数的住户.
主要成果:
- 与女性居民相比,在调整机构因素后,男性居民报告的脱减少,胸管插入和镇静的数量更高.
- 敏感性分析证实了这些发现,中央线在男性中也更频繁.
结论:
- 一个全国性的EM项目样本表明,男性住院人员比女性住院人员执行的特定手术数量更高,包括脱位减少,胸管插入和镇静.
- 这些发现表明,在紧急医疗住院期间的程序经验中,可能存在基于性别的差异.
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