较低的社会经济因素与感染性休克患者的死亡率升高有关。

Lower socioeconomic factors are associated with higher mortality in patients with septic shock.

机构信息

Division of Pulmonary Sciences and Critical Care Medicine, University of Colorado Anschutz UK.

Division of Cardiovascular Medicine, Stanford Medicine USA.

出版信息

Heart Lung. 2021 Jul-Aug;50(4):477-480. doi: 10.1016/j.hrtlng.2021.02.014. Epub 2021 Apr 5.

DOI:10.1016/j.hrtlng.2021.02.014

PMID:33831699

Abstract

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.

摘要

背景

先前的研究已经探讨了社会经济地位与脓毒症结局之间的关系。

目的

本研究旨在确定种族、民族、经济稳定性、社区环境和医疗保健的可及性是否与脓毒性休克患者的死亡率相关。

方法

对两家医疗中心收治的脓毒性休克患者进行回顾性研究。

结果

入院前一年，白人患者门诊就诊的比例更高，且不太可能是医疗保险或医疗补助的受益者。白人组的 30 天死亡率较低（39.3% vs. 48.7%，p < 0.01）。多变量逻辑回归发现，30 天死亡率的预测因素包括少数族裔（比值比 1.44，95%置信区间 1.12-1.86）、失业（比值比 1.40，95%置信区间 1.09-1.81）和贫困率≥10%的社区（比值比 1.43，95%置信区间 1.01-2.01）。