Cited by 4

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Aboriginal and Torres Strait Islander patients requiring critical care: characteristics, resource use, and outcomes

Secombe, Paul, Brown, Alex, McAnulty, Greg, Pilcher, David·2019·Critical Care and Resuscitation

Abstract

Objective To provide a contemporary description of the demographics, characteristics and outcomes of critically ill Indigenous patients in Australia. Design, setting and participants Retrospective database review using the Australian and New Zealand Intensive Care Society Adult Patient Database for intensive care unit (ICU) admissions in 2017-18. Characteristics of critically ill Indigenous patients were compared with non-Indigenous patients. Main outcome measures Primary outcome was hospital mortality. Secondary outcomes examined demographics and resource use. Results Per capita, Indigenous Australians were overrepresented in the intensive care. They were younger (51 v 66 years), more likely to be admitted from outer regional, rural and remote settings (59% v 15%), more likely to require emergency admission (81% v 59%), and had higher rates of mechanical ventilation (35% v 32%; P v 9%), trauma (7% v 5%), and respiratory illness (17% v 15%), and had higher rates of ICU re-admission (7% v 5%; P P = 0.96) or adjusted (odds ratio, 1.1; 95% CI, 1.0-1.2) in-hospital mortality. Conclusion Indigenous patients, especially young Indigenous patients, were disproportionately represented in Australian ICUs, particularly for sepsis. The high level of acute illness and high proportion of emergency admissions could be interpreted as representing delayed presentation, which, with a higher re-admission rate, suggest access barriers to health care may exist. Nevertheless, there was no mortalit…

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Crossref · 10.1016/s1441-2772(23)00528-8

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Research works printed but not linked: 20

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Metadata

Authors
Secombe, P., Brown, A., McAnulty, G., & Pilcher, D.
Venue
Critical Care and Resuscitation
Publisher
Elsevier BV
Published
2019-09
Volume
21
Issue
3
Pages
200-211.e10
ISSN
1441-2772
Cited by
4
References
1
Language
en

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