Healthcare disparities in critical illness.
TLDR
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.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 crread more
Citations
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Journal Article
Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care
TL;DR: Qualitative research in such mobile health clinics has found that patients value the informal, familiar environment in a convenient location, with staff who “are easy to talk to,” and that the staff’s “marriage of professional and personal discourses” provides patients the space to disclose information themselves.
Journal ArticleDOI
Surviving sepsis campaign: research priorities for sepsis and septic shock
Craig M. Coopersmith,Daniel De Backer,Clifford S. Deutschman,Ricard Ferrer,Ishaq Lat,Flávia Ribeiro Machado,Greg S. Martin,Ignacio Martin-Loeches,Mark E. Nunnally,Massimo Antonelli,Laura Evans,Judith Hellman,Sameer Jog,Jozef Kesecioglu,Mitchell M. Levy,Andrew Rhodes +15 more
TL;DR: While the Surviving Sepsis Campaign guidelines give multiple recommendations on the treatment of sepsis, significant knowledge gaps remain, both in bedside issues directly applicable to clinicians, as well as understanding the fundamental mechanisms underlying the development and progression ofSepsis.
Journal ArticleDOI
Clinical course and predictors of 60-day mortality in 239 critically ill patients with COVID-19: a multicenter retrospective study from Wuhan, China.
Jiqian Xu,Xiaobo Yang,Luyu Yang,Xiaojing Zou,Yaxin Wang,Yongran Wu,Ting Zhou,Yin Yuan,Hong Qi,Shouzhi Fu,Hong Liu,Jia'an Xia,Zhengqin Xu,Yuan Yu,Ruiting Li,Yaqi Ouyang,Rui Wang,Lehao Ren,Yingying Hu,Dan Xu,Xin Zhao,Shiying Yuan,Dingyu Zhang,You Shang +23 more
TL;DR: The duration of the negative conversion of SARS-CoV-2 RNA and its association with the severity of critically ill patients with COVID-19 should be seriously considered and further studied.
Journal ArticleDOI
Racial Disparities in Comorbidities, Complications, and Maternal and Fetal Outcomes in Women With Preeclampsia/eclampsia.
Sajid Shahul,Avery Tung,Mohammed M. Minhaj,Junaid Nizamuddin,Julia Wenger,Eitezaz Mahmood,Ariel Mueller,Shahzad Shaefi,Barbara M. Scavone,Robb D. Kociol,Daniel Talmor,Sarosh Rana +11 more
TL;DR: The data suggest that African-American women are more likely to have risk factors for preeclampsia and more Likely to suffer an adverse outcome during peripartum care and whether controlling co-morbidities and other risk factors will help to alleviate racial disparities in outcomes.
Journal ArticleDOI
Surviving sepsis campaign : Research priorities for sepsis and septic shock
Craig M. Coopersmith,Daniel De Backer,Clifford S. Deutschman,Ricard Ferrer,Ishaq Lat,Flávia Ribeiro Machado,Greg S. Martin,Ignacio Martin-Loeches,Mark E. Nunnally,Massimo Antonelli,Laura Evans,Judith Hellman,Sameer Jog,Jozef Kesecioglu,Mitchell M. Levy,Andrew Rhodes +15 more
TL;DR: While the Surviving Sepsis Campaign guidelines give multiple recommendations on the treatment of sepsis, significant knowledge gaps remain, both in bedside issues directly applicable to clinicians, as well as understanding the fundamental mechanisms underlying the development and progression ofSepsis.
References
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Journal ArticleDOI
Epidemiology of severe sepsis in the United States: analysis of incidence, outcome, and associated costs of care.
Derek C. Angus,Walter T. Linde-Zwirble,Jeffrey Lidicker,Gilles Clermont,Joseph A. Carcillo,Michael R. Pinsky +5 more
TL;DR: Severe sepsis is a common, expensive, and frequently fatal condition, with as many deaths annually as those from acute myocardial infarction, and is especially common in the elderly and is likely to increase substantially as the U.S. population ages.
Book
Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care
TL;DR: In this article, a panel of experts documents this evidence and explores how persons of color experience the health care environment, examining how disparities in treatment may arise in health care systems and looking at aspects of the clinical encounter that may contribute to such disparities.
Journal ArticleDOI
The Epidemiology of Sepsis in the United States from 1979 through 2000
TL;DR: The rate of sepsis due to fungal organisms increased by 207 percent, with gram-positive bacteria becoming the predominant pathogens after 1987, and the total in-hospital mortality rate fell, yet the total number of deaths continued to increase.
Journal ArticleDOI
Efficacy and safety of recombinant human activated protein C for severe sepsis.
G Ordon R. B Ernard,J Ean L Ouis V Incent,L Aterre,S Teven P. L A R Osa,J Ean,A Ngel L Opez,J Ay S. S Teingrub,G Ary E. G Arber,J Effrey,D. H Elterbrand,E. W Esley E Ly,C Harles J. F Isher,S Evere S Epsis,S Tudy G Roup +13 more
TL;DR: This phase 3 trial assessed whether treatment with drotrecogin alfa activated reduced the rate of death from any cause among patients with severe sepsis.
Journal ArticleDOI
Effect of Treatment With Low Doses of Hydrocortisone and Fludrocortisone on Mortality in Patients With Septic Shock
Djillali Annane,Véronique Sébille,C. Charpentier,Pierre-Edouard Bollaert,Bruno François,Jean-Michel Korach,Gilles Capellier,Yves Cohen,Elie Azoulay,Gilles Troché,Philippe Chaumet-Riffaut,Eric Bellissant +11 more
TL;DR: In this trial, a 7-day treatment with low doses of hydrocortisone and fludrocort isone significantly reduced the risk of death in patients with septic shock and relative adrenal insufficiency without increasing adverse events.