Epidemiology, Characteristics, and Outcomes of ICU-Managed Homeless Patients: A Population-Based Study.
<italic>Background</italic>. The population-level demand for critical care services among the homeless (H) remains unknown, with only sparse data on the characteristics and outcomes of those managed in the ICU.<italic> Methods</italic>. The Texas Inpatient Public Use Data File and annual federal rep...
| Publicado en: | BioMed Research International Vol. 2018; pp. 1 - 12 |
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| Autor principal: | |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
3/27/2018
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=128735710&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 128735710 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 23146133 FT2T jtl: BioMed Research International issn: 23146133 maglogo: N pubinfo: dt: 3/27/2018 vid: 2018 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 128735710 128735710 128735710 10.1155/2018/3869652 128735710 ppf: 1 ppct: 11 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Epidemiology, Characteristics, and Outcomes of ICU-Managed Homeless Patients: A Population-Based Study. aug: au: Oud, Lavi affil: Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Texas Tech University Health Sciences Center at the Permian Basin, Odessa, TX, USA sug: subj: Outcomes (Health Care) Intensive Care Units Texas Homeless Persons Texas Human Patient Admission Hospitalization Trends Texas Adult Middle Age Aged Aged, 80 and Over Minority Groups Hospital Mortality Age Factors Comorbidity Multiple Organ Dysfunction Syndrome Critical Care Healthcare Disparities Health Services Accessibility Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Aged, 80 & over ab: <italic>Background</italic>. The population-level demand for critical care services among the homeless (H) remains unknown, with only sparse data on the characteristics and outcomes of those managed in the ICU.<italic> Methods</italic>. The Texas Inpatient Public Use Data File and annual federal reports were used to identify H hospitalizations and annual estimates of the H population between 2007 and 2014. The incidence of ICU admissions in the H population, the characteristics of ICU-managed H, and factors associated with their short-term mortality were examined.<italic> Results</italic>. Among 52,206 H hospitalizations 15,553 (29.8%) were admitted to ICU. The incidence of ICU admission among state H population rose between 2007 and 2014 from 28.0 to 96.6/1,000 (p<0.0001), respectively. Adults aged ≥ 45 years and minorities accounted for 70.2% and 57.6%, respectively, of the growth in volume of ICU admissions. Short-term mortality was 3.2%, with odds of death increased with age, comorbidity burden, and number of failing organs.<italic> Conclusions</italic>. The demand for critical care services was increasingly high among the H and was contrasted by low short-term mortality among ICU admissions. These findings, coupled with the persistent health disparities among minority H, underscore the need to effectively address homelessness and reduce barriers to longitudinal appropriate prehospital care among the H. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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