Healthcare disparities in critical illness

Research output: Contribution to journalArticle

37 Citations (Scopus)

Abstract

OBJECTIVE:: To summarize the current literature on racial and gender disparities in critical care and the mechanisms underlying these disparities in the course of acute critical illness. DATA SOURCES:: MEDLINE search on the published literature addressing racial, ethnic, or gender disparities in acute critical illness, such as sepsis, acute lung injury, pneumonia, venous thromboembolism, and cardiac arrest. STUDY SELECTION:: Clinical studies that evaluated general critically ill patient populations in the United States as well as specific critical care conditions were reviewed with a focus on studies evaluating factors and contributors to health disparities. DATA EXTRACTION:: Study findings are presented according to their association with the prevalence, clinical presentation, management, and outcomes in acute critical illness. DATA SYNTHESIS:: This review presents potential contributors for racial and gender disparities related to genetic susceptibility, comorbidities, preventive health services, socioeconomic factors, cultural differences, and access to care. The data are organized along the course of acute critical illness. CONCLUSIONS:: The literature to date shows that disparities in critical care are most likely multifactorial involving individual, community, and hospital-level factors at several points in the continuum of acute critical illness. The data presented identify potential targets as interventions to reduce disparities in critical care and future avenues for research.

Original languageEnglish (US)
Pages (from-to)2784-2793
Number of pages10
JournalCritical Care Medicine
Volume41
Issue number12
DOIs
StatePublished - Dec 2013

Fingerprint

Healthcare Disparities
Critical Illness
Critical Care
Preventive Health Services
Acute Lung Injury
Venous Thromboembolism
Community Hospital
Genetic Predisposition to Disease
Heart Arrest
MEDLINE
Comorbidity
Sepsis
Pneumonia
Health
Research
Population

Keywords

  • Critical illness
  • Health disparities
  • Organ dysfunction
  • Outcomes

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine

Cite this

Healthcare disparities in critical illness. / Soto, Graciela J.; Martin, Greg S.; Gong, Michelle Ng.

In: Critical Care Medicine, Vol. 41, No. 12, 12.2013, p. 2784-2793.

Research output: Contribution to journalArticle

Soto, Graciela J. ; Martin, Greg S. ; Gong, Michelle Ng. / Healthcare disparities in critical illness. In: Critical Care Medicine. 2013 ; Vol. 41, No. 12. pp. 2784-2793.
@article{a3a8bd8aeeee4f15bfd8d72f0bd8f13f,
title = "Healthcare disparities in critical illness",
abstract = "OBJECTIVE:: To summarize the current literature on racial and gender disparities in critical care and the mechanisms underlying these disparities in the course of acute critical illness. DATA SOURCES:: MEDLINE search on the published literature addressing racial, ethnic, or gender disparities in acute critical illness, such as sepsis, acute lung injury, pneumonia, venous thromboembolism, and cardiac arrest. STUDY SELECTION:: Clinical studies that evaluated general critically ill patient populations in the United States as well as specific critical care conditions were reviewed with a focus on studies evaluating factors and contributors to health disparities. DATA EXTRACTION:: Study findings are presented according to their association with the prevalence, clinical presentation, management, and outcomes in acute critical illness. DATA SYNTHESIS:: This review presents potential contributors for racial and gender disparities related to genetic susceptibility, comorbidities, preventive health services, socioeconomic factors, cultural differences, and access to care. The data are organized along the course of acute critical illness. CONCLUSIONS:: The literature to date shows that disparities in critical care are most likely multifactorial involving individual, community, and hospital-level factors at several points in the continuum of acute critical illness. The data presented identify potential targets as interventions to reduce disparities in critical care and future avenues for research.",
keywords = "Critical illness, Health disparities, Organ dysfunction, Outcomes",
author = "Soto, {Graciela J.} and Martin, {Greg S.} and Gong, {Michelle Ng}",
year = "2013",
month = "12",
doi = "10.1097/CCM.0b013e3182a84a43",
language = "English (US)",
volume = "41",
pages = "2784--2793",
journal = "Critical Care Medicine",
issn = "0090-3493",
publisher = "Lippincott Williams and Wilkins",
number = "12",

}

TY - JOUR

T1 - Healthcare disparities in critical illness

AU - Soto, Graciela J.

AU - Martin, Greg S.

AU - Gong, Michelle Ng

PY - 2013/12

Y1 - 2013/12

N2 - OBJECTIVE:: To summarize the current literature on racial and gender disparities in critical care and the mechanisms underlying these disparities in the course of acute critical illness. DATA SOURCES:: MEDLINE search on the published literature addressing racial, ethnic, or gender disparities in acute critical illness, such as sepsis, acute lung injury, pneumonia, venous thromboembolism, and cardiac arrest. STUDY SELECTION:: Clinical studies that evaluated general critically ill patient populations in the United States as well as specific critical care conditions were reviewed with a focus on studies evaluating factors and contributors to health disparities. DATA EXTRACTION:: Study findings are presented according to their association with the prevalence, clinical presentation, management, and outcomes in acute critical illness. DATA SYNTHESIS:: This review presents potential contributors for racial and gender disparities related to genetic susceptibility, comorbidities, preventive health services, socioeconomic factors, cultural differences, and access to care. The data are organized along the course of acute critical illness. CONCLUSIONS:: The literature to date shows that disparities in critical care are most likely multifactorial involving individual, community, and hospital-level factors at several points in the continuum of acute critical illness. The data presented identify potential targets as interventions to reduce disparities in critical care and future avenues for research.

AB - OBJECTIVE:: To summarize the current literature on racial and gender disparities in critical care and the mechanisms underlying these disparities in the course of acute critical illness. DATA SOURCES:: MEDLINE search on the published literature addressing racial, ethnic, or gender disparities in acute critical illness, such as sepsis, acute lung injury, pneumonia, venous thromboembolism, and cardiac arrest. STUDY SELECTION:: Clinical studies that evaluated general critically ill patient populations in the United States as well as specific critical care conditions were reviewed with a focus on studies evaluating factors and contributors to health disparities. DATA EXTRACTION:: Study findings are presented according to their association with the prevalence, clinical presentation, management, and outcomes in acute critical illness. DATA SYNTHESIS:: This review presents potential contributors for racial and gender disparities related to genetic susceptibility, comorbidities, preventive health services, socioeconomic factors, cultural differences, and access to care. The data are organized along the course of acute critical illness. CONCLUSIONS:: The literature to date shows that disparities in critical care are most likely multifactorial involving individual, community, and hospital-level factors at several points in the continuum of acute critical illness. The data presented identify potential targets as interventions to reduce disparities in critical care and future avenues for research.

KW - Critical illness

KW - Health disparities

KW - Organ dysfunction

KW - Outcomes

UR - http://www.scopus.com/inward/record.url?scp=84889237222&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84889237222&partnerID=8YFLogxK

U2 - 10.1097/CCM.0b013e3182a84a43

DO - 10.1097/CCM.0b013e3182a84a43

M3 - Article

AN - SCOPUS:84889237222

VL - 41

SP - 2784

EP - 2793

JO - Critical Care Medicine

JF - Critical Care Medicine

SN - 0090-3493

IS - 12

ER -