Effects of education, income and employment on intensive care unit (ICU) and post-ICU survival - A nationwide Swedish cohort study of individual-level data with 1-year follow up
Authors' conclusion
Significant relationships between low SES in the critically ill and increased risk of death indicate that it is important to identify and support patients with low SES to improve survival after intensive care.
Study context
- Population
- Adult ICU patients in Sweden
- Participants
- 58,279 adults
- Exposure
- Socioeconomic status and ICU and post-ICU survival
- Outcome
- ICU survival and post-ICU survival
- Follow-up
- 1 year after ICU discharge
Methodological detailsindividual-level register data, 1-year follow-up
- Individual-level register data
- 1-year follow-up
Main finding
As reported in the abstract
ICU death
Each group vs workedHazard ratio (95% CI)
Unemployed
1.20(1.10–1.30)
Retired
1.15(1.07–1.24)
Observational data: associations, not effects.
Further findings
| Outcome | HR (CI) | |
|---|---|---|
| Post-ICU death (1 year) · 1 year after ICU dischargeHighest income quintile vs Lowest income quintile · risk decreased with greater income | 0.84 (0.79–0.88) | |
| 0.512Hazard ratio (log scale) |
Post-ICU death (1 year) · 1 year after ICU discharge
- Higher education levels appeared associated with reduced risk of death in first year after ICU discharge
Survival rates (all patients)
- Survival at ICU discharge
- 88%
- Survival 1 year after discharge
- 63%
Original publication
Effects of education, income and employment on ICU and post-ICU survival - A nationwide Swedish cohort study of individual-level data with 1-year follow up. J Crit Care. Published 11 December 2023. doi:10.
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