ICU sedation, delirium & recovery
Socioeconomic Disparities and the Role of Comorbidity in Hospital Mortality: A Dutch Nationwide Critical Care Cohort Study
Authors' conclusion
ICU patients with a lower SES face poorer survival prospects, irrespective of comorbidities.
Study context
- Population
- ICU admissions in all 79 Dutch ICUs (2014–2022) linked with household-level socioeconomic status (SES) data
- Participants
- 588,568 ICU admissions
- Exposure
- SES quintiles vs middle SES quintile
- Outcome
- Hospital mortality
Methodological detailsnationwide, multicentre, mixed-effects logistic regression
- Nationwide
- Multicentre
- Mixed-effects logistic regression
Main finding
As reported in the abstract
Hospital mortality, adjusted
Each group vs middle quintileOdds ratio (95% CI)
Lowest SES quintile1st of the ORs listed; association most pronounced in lowest quintile
1.6(1.5–1.6)
Other SES quintiles2nd of the ORs listed; quintile not named
1.1(1.0–1.1)
Other SES quintiles3rd of the ORs listed; quintile not named
1.0(0.9–1.0)
Other SES quintiles4th of the ORs listed; quintile not named
0.9(0.9–1.0)
Observational data: associations, not effects.
Further findings
Effect modification by 7 comorbidities
- Association persisted in patients with and without specific comorbidities
Original publication
Socioeconomic Disparities and the Role of Comorbidity in Hospital Mortality: A Dutch Nationwide Critical Care Cohort Study. Crit Care Med. Published 21 July 2026. doi:10. 1097/ ccm. 0000000000007271
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