ICU sedation, delirium & recovery

Critical illness among patients experiencing homelessness: a retrospective cohort study

Crit CarePublished Retrospective cohort study

Authors' conclusion

Patients experiencing homelessness have different characteristics at ICU admission and have similar processes of care in ICU, but their subsequent use of healthcare resources was higher than patients with stable housing.

Study context

Population
Adults admitted to any ICU in Alberta, Canada, over a 3-year period2.3% experiencing homelessness
Exposure
Patients experiencing homelessness vs patients with stable housing
  • Homelessnessn = 1,086
Outcome
Healthcare resource use (processes of care, ICU and hospital LOS, hospital readmission and emergency room visits)
Methodological detailspopulation-based
  • Population-based

Main finding

As reported in the abstract

Healthcare use after ICU among index hospitalization survivors, homelessness vs stable housing · 30 days
Homelessness vs Stable housingEstimate (95% CI)P value
Healthcare use after ICU among index hospitalization survivors, homelessness vs stable housing
OR for ED visit 2.3(2.0–2.6)
< 0.001
Healthcare use after ICU among index hospitalization survivors, homelessness vs stable housing
OR for hospital readmission 2.1(1.8–2.4)
P < 0.001
Homelessness vs Stable housingDifference in hospital LOS, days (95% CI)P value
Longer in hospital
10.1(8.6–11.6)
P < 0.001

Observational data: associations, not effects.

Further findings

Patient characteristics at ICU admission

Patients experiencing homelessness younger, more commonly admitted for medical reasons, fewer comorbidities

Original publication

Critical illness among patients experiencing homelessness: a retrospective cohort study. Crit Care. Published 6 December 2023. doi:10.1186/s13054-023-04753-7

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

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