UMEM Educational Pearls

Title: Trauma outcome differences between males and females

Category: Trauma

Keywords: Male. Female, outcome, trauma (PubMed Search)

Posted: 3/6/2025 by Robert Flint, MD (Updated: 4/1/2025)
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The Pan-Asia Trauma Outcomes Study database was reviewed for differences in in-hospital mortality and functional capacity at discharge between male and female trauma patients. There were 76,000 trauma patients from 12 Asian countries in this study. The authors concluded: “This study indicates no difference in the general trauma outcomes in the Asia Pacific between females and males. Although younger females with less severe injuries had better functional outcomes, this advantage disappeared in severe injuries and those over 50 years.” There were several differences in mechanism of injury and age of presentation. “With females more frequently represented in the ??50 age group (60.13%) compared to males (44.87%) (p?<?0.001). Trauma type also varied between sexes; 95.51% of females experienced blunt trauma compared to 93.65% of males (p?<?0.001). Anatomically, males predominantly sustained injuries to the head, face, thorax, abdomen, and upper extremities, whereas females more frequently suffered injuries to the lower extremities and spine (p?<?0.001).” This is similar toEuropean and North American data

References

Bin Kunji Mohamad, M., Jamaluddin, S.F., Ahmad, N. et al. Trauma outcomes differences in females: a prospective analysis of 76 000 trauma patients in the Asia-Pacific region and the contributing factors. Scand J Trauma Resusc Emerg Med 33, 34 (2025). https://doi.org/10.1186/s13049-025-01342-1