Bein, Thomas and Hackner, Kathrin and Zou, Tianya and Schultes, Sybille and Boesch, Teresa and Schlitt, Hans Juergen and Graf, Bernhard M. and Olden, Matthias and Leitzmann, Michael (2012) Socioeconomic status, severity of disease and level of family members' care in adult surgical intensive care patients: the prospective ECSSTASI study. INTENSIVE CARE MEDICINE, 38 (4). pp. 612-619. ISSN 0342-4642,
Full text not available from this repository. (Request a copy)Abstract
Low socioeconomic status (SES) is associated with increased mortality from cardiovascular disease, cancer and trauma. However, individual-level prospective data on SES in relation to health outcomes among critically ill patients admitted to intensive care units (ICU) are unavailable. In a cohort of 1,006 patients at a 24-bed surgical ICU of an academic tertiary care facility in Germany, we examined levels of SES in relation to disease severity at admission, time period of mechanical ventilation, length of stay and frequency of phone calls and visits by next-of-kin. Patients with low SES had higher risk for Sequential Organ Failure Assessment (SOFA) score greater or equal to 5 [multivariate-adjusted odds ratio (OR) 1.49; 95% confidence interval (CI) 0.95-2.33; p = 0.029] and a trend for higher risk for Simplified Acute Physiology Score (SAPS II) greater or equal to 31 (OR 1.28; 95% CI 0.80-2.05; p = 0.086) at admission as compared with patients with high SES. When compared with men with high SES, those with low SES had greater risk for ICU treatment a parts per thousand yen5 days (multivariate-adjusted OR 1.99; 95% CI 1.06-3.74; p = 0.036) and showed a trend for a low number of visits from next-of-kin (< 0.5 visits per day) (OR 1.85; 95% CI 0.79-4.30; p = 0.054). In women such associations could not be demonstrated. Socioeconomic status is inversely related to severity of disease at admission and to length of stay in ICU, and positively associated with the level of care by next-of-kin. Whether relations differ by gender requires further examination.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | RISK-FACTORS; SEX-DIFFERENCES; MORTALITY; HEALTH; SCORE; RACE; Socioeconomic status; Severity of disease; Adult surgical intensive care; SOFA score; SAPS II score; Outcome |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Anästhesiologie Medicine > Lehrstuhl für Chirurgie Medicine > Institut für Epidemiologie und Präventivmedizin > Lehrstuhl für Genetische Epidemiologie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 15 May 2020 12:06 |
| Last Modified: | 15 May 2020 12:06 |
| URI: | https://pred.uni-regensburg.de/id/eprint/18998 |
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