Actively Recruiting

All Genders
Healthy Volunteers
ID05513456

Ethnic and Gender Based Admittance Patterns in the ICU, a Multicenter, International Randomized Survey Study

Led by Karolinska Institutet · Updated on 2025-08-27

5000

Participants Needed

1

Research Sites

26 weeks

Total Duration

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AI-Summary

What this Trial Is About

The dominating proportion of patients in the ICU are men. Studies indicate that men receive more mechanical ventilation, vasoactive drugs, renal replacement therapy, invasive monitoring and have longer length of stay in the ICU. These differences do not unambiguously translate into a survival benefit for men; if survival would be altered if women were admitted to ICU in the same extent is unknown. Factors affecting ICU admission include age, co-morbidities, physiological parameters (indicating severity of the acute illness) and, additionally, the number of available ICU beds. Factors that should not affect ICU admission include patient gender or ethnicity. This study aims at studying if bias against women and people of certain ethnicities exist. Do clinicians have differing thresholds for ICU admission due to non-medical reasons? The investigators propose testing this hypothesis using a blinded randomized factorial survey study.

CONDITIONS

Brief Title

Ethnic and Gender Based Admittance Patterns in the ICU

Who Can Participate

All Genders
Healthy Volunteers

Eligibility Criteria

Eligible

You may qualify if you...

We will include intensive care physicians, both in training and specialists as responders in this randomized survey study

Not Eligible

You will not qualify if you...

We will exclude "button-mashers", i.e. participating respondents that toggle through the case descriptions faster than they possibly could read the case description. A case answered <20 seconds will be ruled out.

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Trial Site Locations

Total: 1 location

1

Karolinska Institutet

Stockholm, Sweden

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Research Team

M

Max Bell, MD, PhD

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

0

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Published Research Related To This Trial

Gender-related differences in intensive care: a multiple-center cohort study of therapeutic interventions and outcome in critically ill patients.

Andreas Valentin, Barbara Jordan, Thomas Lang...

https://pubmed.ncbi.nlm.nih.gov/12847381

Gender differences in outcome and use of resources do exist in Swedish intensive care, but to no advantage for women of premenopausal age.

Carolina Samuelsson, Folke Sjöberg, Göran Karlström...

https://pubmed.ncbi.nlm.nih.gov/25887421

Female sex hormones regulate macrophage function after trauma-hemorrhage and prevent increased death rate from subsequent sepsis.

Markus W Knöferl, Martin K Angele, Michael D Diodato...

https://pubmed.ncbi.nlm.nih.gov/11753049

Trends in Differences in Health Status and Health Care Access and Affordability by Race and Ethnicity in the United States, 1999-2018.

Shiwani Mahajan, César Caraballo, Yuan Lu...

https://pubmed.ncbi.nlm.nih.gov/34402830