Sepsis & infection

Influence of gender on age-associated in-hospital mortality in patients with sepsis and septic shock: a prospective nationwide multicenter cohort study

Crit CarePublished Prospective cohort study

Authors' conclusion

Gender may influence age-associated sepsis outcomes.

Study context

Population
Adults diagnosed with sepsis in the EDs of 19 South Korean hospitals, September 2019–December 2021
Participants
6,442 adults · 19 hospitals
Exposure
Male vs female
  • Malen = 3,650
Outcome
In-hospital mortality
Methodological detailsnationwide, multicentre, registry (Korean Sepsis Alliance)
  • Nationwide
  • Multicentre
  • Registry (Korean Sepsis Alliance)

Main finding

As reported in the abstract

Male vs FemaleEstimate (95% CI)
In-hospital mortality
aOR 1.15(1.02–1.29)
Age 19-50
OR 0.57(0.35–0.93)
Female: risk of death relatively stable until around age 80
P for linearity = 0.77
Male: linear increase in risk of in-hospital death until around age 80
P for linearity < 0.01

Observational data: associations, not effects.

Further findings

Respiratory infection

P < 0.01

Urinary tract infection

P < 0.01

OutcomeaOR (95% CI)
In-hospital mortality, respiratory infection, age 19-50 (subgroup)0.29 (0.12–0.69)

Original publication

Influence of gender on age-associated in-hospital mortality in patients with sepsis and septic shock: a prospective nationwide multicenter cohort study. Crit Care. Published 11 June 2023. doi:10.1186/s13054-023-04515-5

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