ICU sedation, delirium & recovery

Could an integrated model of health and social care after critical illness reduce socioeconomic disparities in outcomes? A Bayesian analysis

BJA OpenPublished Secondary analysis of the InS:PIRE critical care recovery programme

Authors' conclusion

Using multicentre data, this re-analysis suggests, but does not prove, that an integrated health and social care intervention is likely to improve outcomes across the socioeconomic gradient after critical illness, with a potentially greater benefit for those from deprived communities.

Study context

Population
Patients after critical illness attending a critical care rehabilitation programme at five hospital sitesbaseline cohort
Participants
182 patients
Comparison
InS:PIRE intervention effect on Health-Related Quality of Life (HRQoL) across socioeconomic gradient
Primary endpoint
HRQoL (EQ-5D-5L; EQ-VAS)
Follow-up
12 months
Methodological detailspre-planned, multicentre, Bayesian quantile non-linear mixed effects regression
  • Pre-planned
  • Multicentre
  • Bayesian quantile non-linear mixed effects regression

Primary result

As reported in the abstract

EQ-VAS

β

0.71

95% CrI 0.34–1.09

probability of intervention benefit 100%, over 12 months

β

−1.38

95% CrI −2.62 to −0.16

98.6% probability of greater benefit (steeper increase in improvement) at 12 months

Original publication

Could an integrated model of health and social care after critical illness reduce socioeconomic disparities in outcomes? A Bayesian analysis. BJA Open. Published 31 January 2024. doi:10.1016/j.bjao.2024.100259

Composed by AI from the published abstract and checked against it. How Briefs are made →

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