Ethnic and Gender Based Admittance Patterns in the ICU
Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
AgeNot listed
SponsorKarolinska Institutet
About this trial
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.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
None
Disqualifiers
None
Trial population
Intensive care physicians and other physicians working with admission (or non-admission) of critically ill patients across the world are eligible to participate in the study.
Trial design
Design model
Cohort
Time perspective
Prospective
Treatments tested in this trial
Randomization to a different factors in the case descriptions
BehavioralThe case descriptions will include factors like age, co-morbid status and acute physiological parameters; but the factor of sex/gender will be randomized. Moreover, randomization to case description of typical vs non-typical national name will be done.
Treatment groups
No treatment groups listed
Trial outcomes
Primary outcomes
1
Ratio of ICU admission men vs women
Exact same case descriptions except for the fact that the sex/gender is randomized
Time frame
Through study completion, an average of 1 year2
Ratio of ICU admission ethnic background
Exact same case descriptions except for the fact that the name/ethnic background is randomized
Time frame
Through study completion, an average of 1 yearSecondary outcomes
1
Time to ICU admission men vs women
Do respondents take longer to decide to admit women compared to men?
Time frame
Through study completion, an average of 1 year2
Time to ICU admission ethnic background
Do respondents take longer to decide to admit descriptions of patients with "other" ethnic background compared to "normal" ethnic background?
Time frame
Through study completion, an average of 1 year3
Time-out sex/gender
Do respondents more often run out of time in thinking about admitting women compared to men?
Time frame
Through study completion, an average of 1 year4
Time-out described ethnicity
Do respondents more often run out of time in thinking about admitting descriptions of patients with "other" ethnic background compared to "normal" ethnic background?
Time frame
Through study completion, an average of 1 yearSponsors and contacts
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Source ClinicalTrials.gov