患者性别对住院死亡率的影响：一项基于人群的横断面研究。

Influence of Patient Gender on In-Hospital Mortality: A Population-Based Cross-Sectional Study.

作者信息

Vizuete-Aldave Nahikari, Ugartemendia-Yerobi Maider, Pereda-Goikoetxea Beatriz, Zinkunegi-Zubizarreta Nagore, Zubeldia-Etxeberria Josune, Elordi-Guenaga Udane, Arrieta Haritz, Labaka Ainitze

机构信息

Department of Nursing II, Faculty of Medicine and Nursing, University of the Basque Country (UPV/EHU), Donostia-San Sebastián, Gipuzkoa, Spain.

Biogipuzkoa Health Research Institute, Donostia-San Sebastián, Gipuzkoa, Spain.

出版信息

Nurs Open. 2025 Jan;12(1):e70132. doi: 10.1002/nop2.70132.

DOI:10.1002/nop2.70132

PMID:39793991

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11723781/

Abstract

AIM

To analyse the association between gender and in-hospital mortality odds ratios among patients in the Basque Country.

DESIGN

Cross-sectional study.

METHODS

Admission data pertaining to the period between 1 January 2016 and 31 December 2018 were gathered for all registered acute care hospitals (both public and private) in the Basque Country. Odds ratios were calculated through binomial logistic regressions to determine the association between gender and mortality in each diagnostic category of the ICD-10.

RESULTS

Women had a higher in-hospital mortality odds ratio for diseases of the circulatory system (OR 1.07 [1.01-1.14], p < 0.05). In contrast, men were at greater risk of in-hospital death from neoplasms (OR 0.86 [0.83-0.94], p < 0.05), diseases of the nervous system (OR 0.83 [0.70-0.97], p < 0.05), diseases of the genitourinary system (OR 0.83 [0.71-0.96], p < 0.05), endocrine diseases (OR 0.67 [0.54-0.84], p < 0.05), injury, poisoning and other consequences of external causes (OR 0.60 [0.54-0.67], p < 0.05) and diseases of the musculoskeletal system and connective tissue (OR 0.69 [0.50-0.93], p < 0.05).

PATIENT OR PUBLIC CONTRIBUTION

No patient or public contributions.

摘要

目的

分析巴斯克地区患者的性别与院内死亡比值比之间的关联。

设计

横断面研究。

方法

收集了巴斯克地区所有注册的急症护理医院（包括公立和私立）在2016年1月1日至2018年12月31日期间的入院数据。通过二项逻辑回归计算比值比，以确定ICD - 10各诊断类别的性别与死亡率之间的关联。

结果

女性在循环系统疾病方面的院内死亡比值比更高（比值比1.07 [1.01 - 1.14]，p < 0.05）。相比之下，男性因肿瘤（比值比0.86 [0.83 - 0.94]，p < 0.05）、神经系统疾病（比值比0.83 [0.70 - 0.97]，p < 0.05）、泌尿生殖系统疾病（比值比0.83 [0.71 - 0.96]，p < 0.05）、内分泌疾病（比值比0.67 [0.54 - 0.84]，p < 0.05）、损伤、中毒和外部原因的其他后果（比值比0.60 [0.54 - 0.67]，p < 0.05）以及肌肉骨骼系统和结缔组织疾病（比值比0.69 [0.50 - 0.93]，p < 0.05）导致院内死亡的风险更高。