Background

Previous studies have explored the relationship between socioeconomic status and sepsis outcomes

Objectives

The purpose of this investigation is to determine if race, ethnicity, economic stability, neighborhood environment, and access to health care are predictive of mortality in patients with septic shock.

Methods

Retrospective study of septic shock patients admitted to two medical centers.

Results

Caucasian patients had higher proportion of outpatient physician visits in the year prior to admission and were less likely to be Medicare or Medicaid beneficiaries. Thirty-day mortality was lower for the Caucasian cohort (39.3% vs. 48.7%, p < 0.01). Multivariate logistic regression found several predictors of 30-day mortality including Minority race/ethnicity (OR 1.44, 95% CI 1.12–1.86), unemployment (OR 1.40, 95% CI 1.09–1.81), and neighborhood poverty rate ≥10% (OR 1.43, 95% CI 1.01–2.01).

Conclusions

Minority patients, unemployed patients, and those living in neighborhoods with poverty rates greater than 10% suffered from higher 30-day mortality when admitted for septic shock.

中文翻译：

---

较低的社会经济因素与感染性休克患者较高的死亡率相关

背景

先前的研究探讨了社会经济地位与败血症结果之间的关系

目标

本调查的目的是确定种族、民族、经济稳定性、邻里环境和获得医疗保健的机会是否可以预测感染性休克患者的死亡率。

方法

对两个医疗中心收治的感染性休克患者的回顾性研究。

结果

白种人患者在入院前一年门诊就诊的比例较高，并且不太可能成为医疗保险或医疗补助受益人。白种人队列的 30 天死亡率较低（39.3% 对 48.7%，p  < 0.01）。多变量逻辑回归发现了 30 天死亡率的几个预测因素，包括少数民族（OR 1.44，95% CI 1.12–1.86），失业率（OR 1.40，95% CI 1.09–1.81）和社区贫困率≥10%（OR 1.43，95% CI 1.01–2.01）。

结论

少数族裔患者、失业患者和生活在贫困率高于 10% 的社区的患者因感染性休克入院后 30 天死亡率更高。