ICU sedation, delirium & recovery

Associations Between Social Economic Determinants and Long-Term Outcomes of Critically Ill Patients

Crit Care MedPublished Prospective cohort study

Authors' conclusion

Indicators of lower SES, including low education level, low income, unemployment and migrants were associated with an increased risk of post-ICU health problems.

Study context

Population
Patients ≥16 years admitted ≥12 hours to 7 Dutch ICUs, July 2016–March 20203,246 (49.5%) completed questionnaires
Participants
6,555 patients
Exposure
Indicators of socioeconomic status (SES)
Outcome
Physical problems, psychological problems, cognitive impairment and a composite score
Follow-up
1 year after ICU admission
Methodological detailsmulticentre
  • Multicentre

Main finding

As reported in the abstract

1-year post-ICU
Adjusted odds ratio (95% CI)P value
Low education levelcomposite score health problems
1.84(1.39–2.44)
P < 0.001
Pre-ICU unemploymentphysical problems
1.98(1.31–3.01)
P = 0.001
Migrantspsychological problems
2.03(1.25–3.24)
P < 0.01
Low incomepsychological problems
1.54(1.10–2.16)
P = 0.01
Unpaid workpsychological problems
0.26(0.08–0.73)
P = 0.02
Unpaid workcognitive problems
0.11(0.01–0.59)
P = 0.04

Observational data: associations, not effects.

Original publication

Associations Between Social Economic Determinants and Long-Term Outcomes of Critically Ill Patients. Crit Care Med. Published 13 February 2025. doi:10.1097/ccm.0000000000006587

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