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Lower socioeconomic factors are associated with higher mortality in patients with septic shock.
Colon Hidalgo, Daniel; Tapaskar, Natalie; Rao, Swathi; Masic, Dalila; Su, Alice; Portillo, Josue; Rech, Megan.
Afiliación
  • Colon Hidalgo D; Division of Pulmonary Sciences and Critical Care Medicine, University of Colorado Anschutz UK. Electronic address: colond13@gmail.com.
  • Tapaskar N; Division of Cardiovascular Medicine, Stanford Medicine USA.
  • Rao S; Department of Internal Medicine, MacNeal HospitalUSA.
  • Masic D; Department of Pharmacy, Loyola University Medical Center USA.
  • Su A; Loyola University Stritch School of Medicine USA.
  • Portillo J; Department of Emergency Medicine, Loyola University Medical Center USA.
  • Rech M; Department of Pharmacy, Loyola University Medical Center USA; Department of Emergency Medicine, Loyola University Medical Center USA.
Heart Lung ; 50(4): 477-480, 2021.
Article en En | MEDLINE | ID: mdl-33831699
BACKGROUND: Previous studies have explored the relationship between socioeconomic status and sepsis outcomes OBJECTIVES: The purpose of this investigation is to determine if race, ethnicity, economic stability, neighborhood environment, and access to health care are predictive of mortality in patients with septic shock. METHODS: Retrospective study of septic shock patients admitted to two medical centers. RESULTS: Caucasian patients had higher proportion of outpatient physician visits in the year prior to admission and were less likely to be Medicare or Medicaid beneficiaries. Thirty-day mortality was lower for the Caucasian cohort (39.3% vs. 48.7%, p < 0.01). Multivariate logistic regression found several predictors of 30-day mortality including Minority race/ethnicity (OR 1.44, 95% CI 1.12-1.86), unemployment (OR 1.40, 95% CI 1.09-1.81), and neighborhood poverty rate ≥10% (OR 1.43, 95% CI 1.01-2.01). CONCLUSIONS: Minority patients, unemployed patients, and those living in neighborhoods with poverty rates greater than 10% suffered from higher 30-day mortality when admitted for septic shock.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Choque Séptico / Sepsis Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude Límite: Aged / Humans País/Región como asunto: America do norte Idioma: En Revista: Heart Lung Año: 2021 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Choque Séptico / Sepsis Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude Límite: Aged / Humans País/Región como asunto: America do norte Idioma: En Revista: Heart Lung Año: 2021 Tipo del documento: Article Pais de publicación: Estados Unidos