ICU sedation, delirium & recovery
Critical illness among patients experiencing homelessness: a 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)
< 0.001Healthcare use after ICU among index hospitalization survivors, homelessness vs stable housing
OR for hospital readmission 2.1(1.8–2.4)
P < 0.001Homelessness vs Stable housingDifference in hospital LOS, days (95% CI)P value
Longer in hospital
10.1(8.6–11.6)
P < 0.001Observational 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 →