ICU sedation, delirium & recovery
Health Care Disparities and Critical Illnesses-Related Mortality in the United States
Authors' conclusion
Critical illness mortality is significantly associated with indicators of socioeconomic disadvantage. The SDI appears to be a more effective tool than the SVI for guiding resource allocation.
Study context
- Population
- County-level populations of all ages across the US, 2015 to 2019
- Exposure
- Higher vs lower social vulnerability index and social deprivation index
- Outcome
- Age-adjusted critical illness-related mortality (respiratory, cardiac, neurologic, renal/gastrointestinal)
Methodological detailscounty-level data
- County-level data
Main finding
As reported in the abstract
Critical illness-related mortality associated with SVI and SDI (cardiac, strongest)
Rate ratio (95% CI)
SDI
1.52(1.48–1.57)
SVI
1.43(1.39–1.47)
Observational data: associations, not effects.
Further findings
Sepsis
| IRR (95% CI) | ||
|---|---|---|
| SVI | 1.63 (1.58–1.69) | |
| SDI | 1.75 (1.70–1.80) | |
| 0.512Incidence rate ratio (log scale) |
Cardiac arrest
| IRR (95% CI) | ||
|---|---|---|
| SVI | 1.92 (1.80–2.04) | |
| SDI | 1.98 (1.86–2.10) | |
| 0.512Incidence rate ratio (log scale) |
Anoxic brain damage
| IRR (95% CI) | ||
|---|---|---|
| SVI | 1.62 (1.45–1.81) | |
| SDI | 1.60 (1.45–1.76) | |
| 0.512Incidence rate ratio (log scale) |
Acute hepatic failure
| IRR (95% CI) | ||
|---|---|---|
| SVI | 1.51 (0.92–2.46) | |
| SDI | 1.49 (1.08–2.05) | |
| 0.512Incidence rate ratio (log scale) |
Mortality rates per 100,000 by category
- Cardiac
- 212.4 (95% CI, 212.2-212.6)
- Respiratory
- 116.8 (95% CI, 116.7-117.0)
- Neurologic
- 30.8 (95% CI, 30.8-30.9)
- Renal/gastrointestinal
- 25.2 (95% CI, 25.1-25.3)
- Mortality greater among adults ≥65 years, males, Black or African American individuals, rural residents
Original publication
Health Care Disparities and Critical Illnesses-Related Mortality in the United States. Crit Care Med. Published 13 February 2025. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →