当前位置： SCI文献检索 > CRITICAL CARE MEDICINE期刊下所有文献 > Occurrence and outcomes of sepsis: influence of race.

Occurrence and outcomes of sepsis: influence of race.

Abstract：

OBJECTIVE:To evaluate premorbid conditions and sociodemographic characteristics associated with differences in hospitalization and mortality rates of sepsis in blacks and whites. DESIGN:Secondary data analysis of the publicly available New Jersey State Inpatient Database for 2002. SETTING:Acute care hospitals in New Jersey. PATIENTS:All black and white adult patients with sepsis hospitalized in 2002. INTERVENTIONS:None. MEASUREMENTS AND MAIN RESULTS:A total of 5,466 black and 19,373 white adult patients with sepsis were identified with the International Classification of Diseases, Ninth Revision, Clinical Modification codes for septicemia. Blacks were significantly younger than whites (61.6 +/- 0.25 and 72.8 +/- 0.11 yrs, respectively, p < .0001). Blacks had greater hospitalization rates than whites, with the greatest disparity between the ages of 35 and 44 yrs (relative risk, 4.35; 95% confidence interval, 3.93-4.82). Compared with whites, blacks had higher age-adjusted rates for hospitalization and mortality but similar case fatality rates. They were more likely than whites to be admitted to the hospital through the emergency room (odds ratio, 1.4; 95% confidence interval, 1.27-1.50) and to the intensive care unit (odds ratio, 1.14; 95% confidence interval, 1.07-1.21), and they were 3.96 times (95% confidence interval, 3.44-4.56) more likely to be uninsured. Black patients with sepsis had a greater likelihood of human immunodeficiency virus infection, diabetes, obesity, burns, and chronic renal failure than white patients and had a smaller likelihood of cancer, trauma, and urinary tract infection. CONCLUSIONS:In this study, age-adjusted case fatality rates for hospitalized white and black patients with sepsis were similar. These data are not suggestive of systematic disparities in the quality of treatment of sepsis between blacks and whites. However, blacks had higher rates of hospitalization and population-based mortality for sepsis. We speculate that disparities in disease prevention and care of preexisting conditions before sepsis onset may explain these differences.

journal_name

Crit Care Med

journal_title

Critical care medicine

authors

Dombrovskiy VY,Martin AA,Sunderram J,Paz HL

doi

10.1097/01.CCM.0000256726.80998.BF

subject

Has Abstract

pub_date

2007-03-01 00:00:00

pages

763-8

issue

eissn

0090-3493

issn

1530-0293

journal_volume

pub_type

杂志文章

在线工具

Occurrence and outcomes of sepsis: influence of race.