ICU sedation, delirium & recovery

Association Between Sex and Clinical Outcomes for Critically Ill Patients in India: A Registry-Embedded Cohort Study

Crit Care MedPublished Retrospective registry-embedded cohort study

Main finding · ICU mortalityResult — go to the resultAdjusted odds ratio 0.95 95% CI 0.90–1.00

Authors' conclusion

In this registry-embedded cohort study, critically ill females less commonly received most types of organ supports, yet had similar adjusted ICU mortality compared with males.

Study context

Population
Adult (≥ 16 yr) patients admitted to 45 ICUs in the Indian Registry of IntenSive care (IRIS)
Participants
82,151 participants · 45 ICUs
Exposure
Females vs males
  • Femalesn = 31,409
Outcome
ICU mortality
Methodological detailsmulticentre registry, adjusted for prespecified baseline covariates
  • Multicentre registry
  • Adjusted for prespecified baseline covariates

Main finding

As reported in the abstract

Adjusted odds ratio

0.95

95% CI 0.90–1.00

P = 0.07

By group

Females vs Males
aOR 0.95 (95% CI 0.90–1.00); P = 0.07

Observational data: associations, not effects.

Secondary outcomes

OutcomeFemalesMalesEstimateP value
Hospital mortality19.4%20.8%aOR 1.00 (95% CI 0.97–1.03)P = 0.66
Invasive ventilation22.2%26.3%aOR 0.78 (95% CI 0.75–0.82)P < 0.001
Kidney replacement therapy4.9%6.3%aOR 0.73 (95% CI 0.68–0.78)P < 0.001
Vasopressors19.1%20.2%aOR 0.95 (95% CI 0.92–0.99)P = 0.03
NIV11.7%9.7%OR 1.23 (95% CI 1.18–1.30)P < 0.001

Sensitivity analyses

Consistent with the primary findings

Original publication

Association Between Sex and Clinical Outcomes for Critically Ill Patients in India: A Registry-Embedded Cohort Study. Crit Care Med. Published 14 May 2026. doi:10.1097/ccm.0000000000007163

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