Please use this identifier to cite or link to this item: http://hdl.handle.net/11054/1437
Title: Aboriginal and Torres Strait Islander patients requiring critical care: characteristics, resource use, and outcomes.
Author: Secombe, Paul
Brown, Alex
McAnulty, Greg
Pilcher, David
Issue Date: 2019
Publication Title: Critical Care and Resuscitation
Volume: 21
Issue: 3
Start Page: 200
End Page: 211
Abstract: 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 over-represented 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' < 0.01 for all). Indigenous patients were over-represented in the diagnostic categories of sepsis (15% v 9%), trauma (7% v 5%), and respiratory illness (17% v 15%), and had higher rates of ICU re-admission (7% v 5%; 'P' < 0.01 for all). There was no difference in either unadjusted (7.9% for each; '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 mortality gap between Indigenous and non-Indigenous Australians during a hospital admission for critical illness. Includes data from BHS.
URI: http://hdl.handle.net/11054/1437
Resource Link: https://cicm.org.au/CICM_Media/CICMSite/CICM-Website/Resources/Publications/CCR%20Journal/Previous%20Editions/September%202019/CCR-_21_3_1_9_19_p200-211.pdf
Internal ID Number: 01388
Health Subject: INDIGENOUS PATIENTS
OVER REPRESENTATION
ACUTE ILLNESS
EMERGENCY ADMISSIONS
HIGH RE-ADMISSION RATE
BARRIERS TO HEALTH CARE
Type: Journal Article
Article
Appears in Collections:Research Output

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