Perioperative medicine & outcomes
Social inequalities in Intensive Care Unit (ICU) admission for Chronic Obstructive Pulmonary Disease (COPD) exacerbations: Insights from a matched case-control study
Main finding · ICU admissionResult — go to the resultOdds ratio 0.54 95% CI 0.29–0.98Authors' conclusion
This study highlights that area-level social deprivation, as measured by the EDI, may negatively influence ICU admission in certain cohorts of COPD patients admitted to the emergency department.
Study context
- Population
- COPD patients admitted to the ED for exacerbations, Caen University Hospital (France), January 2018–December 2022321 cases · 529 controls
- Participants
- 850 patients
- Comparison
- Higher social deprivation vs lower social deprivation
- Outcome
- ICU admission (cases: ICU; controls: conventional wards), by social deprivation (French version of the European Deprivation Index, quintiles)
Methodological detailsmonocentric, matched by sex and age (±5 years), multivariable conditional logistic regression
- Monocentric
- Matched by sex and age (±5 years)
- Multivariable conditional logistic regression
Main finding
ICU admission
Odds ratio
0.54
95% CI 0.29–0.98
EDI 4-5 vs Lower social deprivation
OR 0.54 (95% CI 0.29–0.98)
As reported in the abstract
- Patients in the most deprived categories (European Deprivation Index (EDI) 4-5)
- 57%
Observational data: associations, not effects.
Further findings
Sensitivity analyses (multiple imputation; five-level categorical variable)
- Confirmed results
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Social inequalities in ICU admission for COPD exacerbations: Insights from a matched case-control study. J Crit Care. Published 23 July 2026. doi:10.
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