Sex as a Biological Variable in Emergency Medicine Research and Clinical Practice: A Brief Narrative Review

The Western Journal of Emergency Medicine
Alyson J McGregorBasmah Safdar

Abstract

The National Institutes of Health recently highlighted the significant role of sex as a biological variable (SABV) in research design, outcome and reproducibility, mandating that this variable be accounted for in all its funded research studies. This move has resulted in a rapidly increasing body of literature on SABV with important implications for changing the clinical practice of emergency medicine (EM). Translation of this new knowledge to the bedside requires an understanding of how sex-based research will ultimately impact patient care. We use three case-based scenarios in acute myocardial infarction, acute ischemic stroke and important considerations in pharmacologic therapy administration to highlight available data on SABV in evidence-based research to provide the EM community with an important foundation for future integration of patient sex in the delivery of emergency care as gaps in research are filled.

Citations

Jul 17, 2019·Journal of Medical Toxicology : Official Journal of the American College of Medical Toxicology·Gillian A BeauchampUNKNOWN Toxicology Investigators Consortium (ToxIC)
Sep 22, 2020·World Journal of Clinical Cases·Yossy MachlufOrna Tal
Feb 20, 2020·AEM Education and Training·Alyson J McGregorGillian A Beauchamp
Jul 18, 2019·Journal of Medical Toxicology : Official Journal of the American College of Medical Toxicology·Gillian A BeauchampUNKNOWN Toxicology Investigators Consortium (ToxIC)

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Methods Mentioned

BETA
dissection
sedation
pharmacotherapies

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