Racial Disparities in Length of Stay Among Severely Ill Patients Presenting With Sepsis and Acute Respiratory Failure
Authors' conclusion
In this cohort study, Black patients with severe illness who presented with sepsis and/or ARF experienced longer LOS than White patients. Hispanic patients with sepsis and Asian American and Pacific Islander and Hispanic patients with ARF both experienced shorter LOS.
Study context
- Population
- Adults meeting clinical criteria for sepsis or acute respiratory failure (ARF) with high risk of death at ED presentation, without immediate need for invasive life support; 27 hospitals, Philadelphia and northern California, 2013–2018
- Participants
- 102,362 adults · 27 hospitals
- Exposure
- Racial and ethnic minority vs White patients
- Outcome
- Hospital length of stay (LOS) (hospital admission to discharge or inpatient death)
Methodological detailsmulticentre
- Multicentre
Main finding
As reported in the abstract
Hospital LOS difference vs White (fully adjusted matches)
Each group vs whiteDifference, days (95% CI)
Blacksepsis
1.26(0.68–1.84)
BlackARF
0.97(0.05–1.89)
Asian American and Pacific IslanderARF
−0.61(−0.88 to −0.34)
Hispanicsepsis
−0.22(−0.39 to −0.05)
HispanicARF
−0.47(−0.73 to −0.20)
Observational data: associations, not effects.
Original publication
Racial Disparities in Length of Stay Among Severely Ill Patients Presenting With Sepsis and Acute Respiratory Failure. JAMA Netw Open. Published 1 May 2023. doi:10.
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