Chertoff Jason, Stevenson Paul, Alnuaimat Hassan
1 Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Internal Medicine, University of Florida College of Medicine, Gainesville, FL, USA.
2 Department of Internal Medicine, University of Florida College of Medicine, Gainesville, FL, USA.
J Correct Health Care. 2018 Oct;24(4):337-341. doi: 10.1177/1078345818792235. Epub 2018 Aug 21.
The effect of incarceration on sepsis outcomes in the United States is infrequently described in the literature. This study sought to investigate whether being incarcerated affected mortality rates in sepsis. The retrospective study used data from October 1, 2013, to November 30, 2016, of patients admitted with a diagnosis of sepsis at a tertiary care center with a primary outcome of in-hospital mortality. The study cohort included 8,568 cases of sepsis, of which 8,448 were noninmates and 120 were inmates. Overall mortality was 15.7%; for noninmates, the rate was 15.3%, and for inmates, 42.5%. The risk of death among inmates was 2.8 times that of noninmates. Neither age, sex, nor race were significant confounders. Findings suggest a direct association between incarceration and sepsis mortality. Larger regional or nationwide case-control studies should be conducted to confirm these findings.
监禁对美国败血症治疗结果的影响在文献中鲜有描述。本研究旨在调查被监禁是否会影响败血症患者的死亡率。这项回顾性研究使用了2013年10月1日至2016年11月30日期间，在一家三级护理中心被诊断为败血症的患者数据，主要结局指标是院内死亡率。研究队列包括8568例败血症病例，其中8448例为非在押人员，120例为在押人员。总体死亡率为15.7%；非在押人员的死亡率为15.3%，在押人员为42.5%。在押人员的死亡风险是非在押人员的2.8倍。年龄、性别和种族均不是显著的混杂因素。研究结果表明监禁与败血症死亡率之间存在直接关联。应开展更大规模的区域或全国性病例对照研究以证实这些发现。
