Twelve-month mortality outcomes for Indigenous and non-Indigenous people admitted to intensive care units in Australia: a registry-based data linkage study.
Journal
The Medical journal of Australia
ISSN: 1326-5377
Titre abrégé: Med J Aust
Pays: Australia
ID NLM: 0400714
Informations de publication
Date de publication:
06 02 2023
06 02 2023
Historique:
revised:
07
09
2022
received:
04
04
2022
accepted:
22
09
2022
pubmed:
1
11
2022
medline:
8
2
2023
entrez:
31
10
2022
Statut:
ppublish
Résumé
To compare longer term (12-month) mortality outcomes for Indigenous and non-Indigenous people admitted to intensive care units (ICUs) in Australia. Retrospective registry-based data linkage cohort study; analysis of all admissions of adults (16 years or older) to Australian ICUs, 1 January 2017 - 31 December 2019, as recorded in the Australian and New Zealand Intensive Care Society (ANZICS) Adult Patient Database (APD), linked using the SLK-581 key to National Death Index data. Unadjusted and adjusted mortality risk, censored at twelve months from the start of index ICU admission. Secondary outcomes were unadjusted and adjusted mortality twelve months from admission to the ICU. The APD recorded 330 712 eligible ICU admissions during 2017-2019 (65% of all ICU admissions registered), of which 11 322 were of Indigenous people (3.4%). Median age at admission was lower for Indigenous patients (51.2 [IQR, 36.7-63.6] years) than for non-Indigenous patients (66.5 [IQR, 52.7-76.1] years). Unadjusted mortality risk was similar for Indigenous and non-Indigenous patients (hazard ratio, 1.01; 95% CI, 0.97-1.06), but was higher for Indigenous patients after adjusting for age, admission diagnosis, illness severity, hospital type, jurisdiction, remoteness and socio-economic status (adjusted hazard ratio, 1.20; 95% CI, 1.14-1.27). Twelve-month mortality was higher for Indigenous than non-Indigenous patients (adjusted odds ratio, 1.24; 95% CI, 1.16-1.33). Twelve-month mortality outcomes are poorer for people admitted to ICUs in Australia than for the general population. Further, after adjusting for age and other factors, survival outcomes are poorer for Indigenous than non-Indigenous people admitted to ICUs. Critical illness may therefore contribute to shorter life expectancy among Indigenous Australians.
Identifiants
pubmed: 36310397
doi: 10.5694/mja2.51763
pmc: PMC10092659
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
77-83Subventions
Organisme : Intensive Care Foundation
ID : Linkage of APD to NDI
Commentaires et corrections
Type : CommentIn
Informations de copyright
© 2022 The Authors. Medical Journal of Australia published by John Wiley & Sons Australia, Ltd on behalf of AMPCo Pty Ltd.
Références
Crit Care Med. 2013 May;41(5):1229-36
pubmed: 23591209
Chest. 1991 Dec;100(6):1619-36
pubmed: 1959406
Crit Care Med. 2022 Mar 1;50(3):469-479
pubmed: 34534130
Crit Care Med. 2008 May;36(5):1523-30
pubmed: 18434893
Crit Care. 2018 Jan 18;22(1):8
pubmed: 29347987
Med J Aust. 2018 Jun 2;209(1):19-23
pubmed: 29954311
Crit Care Resusc. 2016 Mar;18(1):25-36
pubmed: 26947413
PLoS One. 2022 Mar 28;17(3):e0266038
pubmed: 35344543
Crit Care Resusc. 2019 Sep;21(3):200-211
pubmed: 31462207
Med J Aust. 2020 Jul;213(1):16-21
pubmed: 32484925
Rural Remote Health. 2017 Jan-Mar;17(1):3908
pubmed: 28231714
Am J Respir Crit Care Med. 2016 Jul 15;194(2):198-208
pubmed: 26815887
Lancet. 2007 Oct 20;370(9596):1453-7
pubmed: 18064739
Intensive Care Med. 2014 Aug;40(8):1097-105
pubmed: 25011575