Section of Critical Care, Department of Pediatrics, Oklahoma University Health Sciences Center, OU Children's Physicians Building, 1200 Children's Avenue, Oklahoma City, OK 73104, USA.
Division of Critical Care Medicine, Ann & Robert H. Lurie Children's Hospital of Chicago, 225 East, Chicago Avenue, Box 73, Chicago, IL 60611, USA.
Crit Care Clin. 2023 Apr;39(2):341-355. doi: 10.1016/j.ccc.2022.09.009. Epub 2022 Nov 18.
Social determinants of health (SDoH) play a significant role in the health and well-being of children in the United States. Disparities in the risk and outcomes of critical illness have been extensively documented but are yet to be fully explored through the lens of SDoH. In this review, we provide justification for routine SDoH screening as a critical first step toward understanding the causes of, and effectively addressing health disparities affecting critically ill children. Second, we summarize important aspects of SDoH screening that need to be considered before implementing this practice in the pediatric critical care setting.
社会决定因素（SDoH）在美国儿童的健康和福祉中发挥着重要作用。重大疾病风险和结局的差异已得到广泛记录，但尚未通过 SDoH 视角充分加以探究。在这篇综述中，我们为常规 SDoH 筛查提供了理由，这是理解造成危重病儿童健康差异的原因并有效解决这些差异的关键第一步。其次，我们总结了在儿科重症监护环境中实施这一做法之前需要考虑的 SDoH 筛查的重要方面。
