ICU sedation, delirium & recovery

Socioeconomic Disparities and the Role of Comorbidity in Hospital Mortality: A Dutch Nationwide Critical Care Cohort Study

Crit Care MedPublished Retrospective 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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