J Pediatr Health Care. 2024 Nov-Dec;38(6):866-872. doi: 10.1016/j.pedhc.2024.08.009. Epub 2024 Sep 21.
This narrative review aims to frame the historical context of American Indian/Alaska Native (AI/AN) pediatric intensive care and offers suggestions for mitigating the impact of unique social drivers.
Recent literature was surveyed to determine pertinent studies describing intensive care outcomes in AI/AN children and was summarized in a narrative review.
American Indian/Alaska Native people experience disproportionate health inequites due to unique social drivers of health, including settler colonialism, historical trauma, and systemic racism. These factors contribute to inequities in the pediatric intensive care experience, including rates of admission for injury and infectious diseases and mortality due to injuries and following cardiac surgery.
These inequities are understudied and require dedicated evaluation. Institutions and providers are responsible for educating, modeling, and providing culturally competent care and aiming to achieve workforce equity to improve outcomes for AI/AN children receiving intensive care.
本叙事性综述旨在构建美国印第安人/阿拉斯加原住民（AI/AN）儿科重症监护的历史背景，并提出缓解独特社会驱动因素影响的建议。
调查了近期的文献，以确定描述 AI/AN 儿童重症监护结局的相关研究，并以叙述性综述的形式进行总结。
由于健康的独特社会驱动因素，包括殖民主义、历史创伤和系统性种族主义，美国印第安人/阿拉斯加原住民面临着不成比例的健康不平等。这些因素导致儿科重症监护体验的不平等，包括因伤害和传染病入院率以及因伤害和心脏手术后死亡率的差异。
这些不平等现象研究不足，需要专门评估。医疗机构和提供者有责任进行教育、树立榜样、提供文化上合适的护理，并努力实现劳动力公平，以改善接受重症监护的 AI/AN 儿童的结局。
