Neighborhood socioeconomic deprivation, healthcare access, and 30-day mortality and readmission after sepsis or critical illness: findings from a nationwide study
Authors' conclusion
A strong association between neighborhood socioeconomic deprivation and 30-day mortality for critically ill patients is not explained by differences in individual poverty, demographics, measured baseline medical risk, access to healthcare resources, or characteristics of treating hospitals.
Study context
- Population
- US Medicare beneficiaries hospitalised with severe sepsis or requiring prolonged mechanical ventilation, tracheostomy or extracorporeal membrane oxygenation (ECMO), 2017–2019
- Participants
- 1,526,405 admissions
- Exposure
- Most-deprived vs least-deprived neighbourhoods
- Outcome
- Mortality and unplanned readmission
- Follow-up
- 30 days
Methodological detailsnationwide, logistic regression with restricted cubic splines, sequential adjustment
- Nationwide
- Logistic regression with restricted cubic splines
- Sequential adjustment
Main finding
As reported in the abstract
30-day mortality
ADI 100 vs ADI 1Odds ratio (95% CI)
Severe sepsis
1.35(1.29–1.42)
Prolonged mechanical ventilation with or without sepsis
1.42(1.31–1.54)
Observational data: associations, not effects.
Further findings
30-day unplanned readmission
- Not associated with deprivation in severe sepsis
- Inversely associated with deprivation in prolonged mechanical ventilation with or without sepsis
Original publication
Neighborhood socioeconomic deprivation, healthcare access, and 30-day mortality and readmission after sepsis or critical illness: findings from a nationwide study. Crit Care. Published 15 July 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →