Factors Underlying Racial and Gender Disparities in Sepsis Management

Ko, Ryoung‐Eun; Suh, Gee Young

doi:10.1016/b978-0-323-88271-2.00035-3

Cited by 2 publications

(2 citation statements)

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“…Previous literature has described differences in health outcomes for sepsis patients based on race and ethnicity, finding higher mortality rates for all minority racial/ethnic patients than white patients ( 11 ). Race as an independent factor is insufficient to explain the health disparities in sepsis outcomes but demonstrates concerning trends ( 12 ). Past literature contends that because sepsis treatment is standardized, differences in outcomes indicate health disparities ( 13 ).…”

Section: Introductionmentioning

confidence: 99%

“…Likely, increased comorbidities, lower insurance rates, and more significant limitations in their built environment for racial and ethnic minorities could explain their worse sepsis outcomes ( 13 ). Multiple studies found that African Americans have some of the highest sepsis mortality rates ( 12 , 13 ); however, Engoren and Arslanian-Engoren had contradictory results in a single-center study that found African Americans have some of the lowest mortality rates ( 14 ). Racial disparities have been well described in past research ( 13 , 15 ) and require further investigation to illuminate the extent of and prevalence of it in sepsis patients.…”

Section: Introductionmentioning

confidence: 99%

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Is patients’ rurality associated with in-hospital sepsis death in US hospitals?

Chang

Medina

Kim

2023

Front. Public Health

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BackgroundThe focus of this study was to explore the association of patients’ rurality and other patient and hospital-related factors with in-hospital sepsis mortality to identify possible health disparities across United States hospitals.MethodsThe National Inpatient Sample was used to identify nationwide sepsis patients (n = 1,977,537, weighted n = 9,887,682) from 2016 to 2019. We used multivariate survey logistic regression models to identify predictors for how patients’ rurality is associated with in-hospital death.FindingsDuring the study periods, in-hospital death rates among sepsis inpatients continuously decreased (11.3% in 2016 to 9.9% in 2019) for all rurality levels. Rao-Schott Chi-Square tests demonstrated that certain patient and hospital factors had varied in-hospital death rates. Multivariate survey logistic regressions suggested that rural areas, minorities, females, older adults, low-income, and uninsured patients have higher odds of in-hospital mortality. Further, specific census divisions like New England, Middle Atlantic, and East North Central had greater in-hospital sepsis death odds.ConclusionRurality was associated with increased in-hospital sepsis death across multiple patient populations and locations. Further, rurality in New England, Middle Atlantic, and East North Central locations is exceptionally high odds. In addition, minority races in rural areas also have an increased odds of in-hospital death. Therefore, rural healthcare requires a more significant influx of resources and should also include assessing patient-related factors.

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Section: Introductionmentioning

confidence: 99%