Kajal Mehta1, Hana Arega2, Natalie L Smith3, Kathleen Li4, Emma Gause5, Joohee Lee6, Barclay Stewart7. 1. Department of Surgery, University of Washington, Seattle, WA, USA. Electronic address: kajalm@uw.edu. 2. School of Public Health, University of Washington, Seattle, WA, USA. Electronic address: aregah@uw.edu. 3. School of Medicine, University of Washington, Seattle, WA, USA. Electronic address: nlouise@uw.edu. 4. Krieger School of Arts & Sciences, The Johns Hopkins University, Baltimore, MD, USA. Electronic address: kli49@jhu.edu. 5. Harborview Injury Prevention & Research Center, Seattle, WA, USA. Electronic address: egause@uw.edu. 6. Public Health Concern Trust-Nepal, Kathmandu, Nepal. Electronic address: joohee.ylee@gmail.com. 7. Department of Surgery, University of Washington, Seattle, WA, USA; Harborview Injury Prevention & Research Center, Seattle, WA, USA. Electronic address: barclays@uw.edu.
Abstract
BACKGROUND: We aimed to describe the gender-based disparities in burn injury patterns, care received, and mortality across national income levels. METHODS: In the WHO Global Burn Registry (GBR), we compared patient demographics, injury characteristics, care and outcomes by sex using Chi-square statistics. Logistic regression was used to identify the associations of patient sex with surgical treatment and in-hospital mortality. RESULTS: Among 6431 burn patients (38 % female; 62 % male), females less frequently received surgical treatment during index hospitalization (49 % vs 56 %, p < 0.001), and more frequently died in-hospital (26 % vs 16 %, p < 0.001) than males. Odds of in in-hospital death was 2.16 (95 % CI: 1.73-2.71) times higher among females compared to males in middle-income countries. CONCLUSIONS: Across national income levels, there appears to be important gender-based disparities among burn injury epidemiology, treatment received and outcomes that require redress. Multinational registries can be utilized to track and to evaluate initiatives to reduce gender disparities at national, regional and global levels.
BACKGROUND: We aimed to describe the gender-based disparities in burn injury patterns, care received, and mortality across national income levels. METHODS: In the WHO Global Burn Registry (GBR), we compared patient demographics, injury characteristics, care and outcomes by sex using Chi-square statistics. Logistic regression was used to identify the associations of patient sex with surgical treatment and in-hospital mortality. RESULTS: Among 6431 burn patients (38 % female; 62 % male), females less frequently received surgical treatment during index hospitalization (49 % vs 56 %, p < 0.001), and more frequently died in-hospital (26 % vs 16 %, p < 0.001) than males. Odds of in in-hospital death was 2.16 (95 % CI: 1.73-2.71) times higher among females compared to males in middle-income countries. CONCLUSIONS: Across national income levels, there appears to be important gender-based disparities among burn injury epidemiology, treatment received and outcomes that require redress. Multinational registries can be utilized to track and to evaluate initiatives to reduce gender disparities at national, regional and global levels.
Authors: Trista D Reid; Sherry M Wren; Joanna Grudziak; Rebecca Maine; Chifundo Kajombo; Anthony G Charles Journal: World J Surg Date: 2019-01 Impact factor: 3.352
Authors: Adam Gyedu; Lynette Lester; Barclay Stewart; Kwabena A Danso; Emmanuella L Salia; Robert Quansah; Peter Donkor; Charles Mock Journal: Int J Gynaecol Obstet Date: 2019-11-22 Impact factor: 3.561