Key result
Female sex was associated with a more satisfactory course of anesthesia compared to male sex (65% vs 46-50%) and fewer deaths (0 vs 14) in patients undergoing major surgery.
Why the study?
Do women have lower morbidity and mortality than men after major operations?
Do women have lower morbidity and mortality than men after major operations?
Women appear to have significantly lower perioperative morbidity and mortality compared to men undergoing major abdominal surgery.
Answers are grounded in this paper and cite their sources.
May support sex-specific perioperative risk assessment; leaves open validation in contemporary cohorts and procedures.
In routine surgical work it is quite remarkable how much more easily women endure major operations than men. A detailed investigation concerning the anaesthetic risk among men and women was published by Gordh in 1950. His material comprised 428 cholecystectomies and 222 gastrectomies. The cases that died (14) were men. The course of anaesthesia was completely satisfactory in 65 per cent of women, but in only 46–50 per cent of men. The respiratory and circulatory post-operative complications were, on the whole, twice as comcon in men as in women. Gordh called attention to the fact that the latter are a better risk than the former.
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E Perman (1953) conducted a review in Patients undergoing major surgery (cholecystectomy or gastrectomy) (n=650). Female sex vs. Male sex was evaluated on Satisfactory course of anesthesia. Female sex was associated with a more satisfactory course of anesthesia compared to male sex (65% vs 46-50%) and fewer deaths (0 vs 14) in patients undergoing major surgery.
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