探索社会和经济因素的景观在危重疾病的生存:一个范围审查。

Q4 Medicine
Critical care explorations Pub Date : 2025-02-07 eCollection Date: 2025-02-01 DOI:10.1097/CCE.0000000000001208
Hong Li, A Fuchsia Howard, Kelsey Lynch, Joanne Chu, Gregory Haljan
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引用次数: 0

摘要

目的:探讨危重疾病生存研究中报告的社会、人口和经济(SDE)因素的广度,重点关注它们如何影响生存结果。数据来源:我们从Medline、Embase、PsycInfo和CINAHL获取文章,以及收录文章的参考文献列表综述和通过搜索获得的相关综述。研究选择:SDE因素被定义为任何可能影响结果的非医学因素。我们纳入了以英语发表的主要研究,这些研究探讨了SDE因素作为独立变量或作为成人icu后生存的结果。两名作者独立评估每项研究是否重复纳入,冲突通过协商一致解决。我们的搜索返回了7151条记录,其中83条被纳入数据提取和最终审查。数据提取:我们采用标准化的数据收集表格提取数据,重点关注每项研究的特征(即发表年份和国家)、SDE因素的探讨、这些因素的测量方式、SDE因素对ICU后生存结局的影响,以及入住ICU对SDE结局的影响。数据综合:我们以表格形式总结SDE因素与ICU存活之间的关系,并进行叙述性综合。我们在当前文献中发现了16个独特的SDE因素。我们发现,一般来说,高等教育、收入和社会经济地位与icu后更好的预后相关;而非白人种族、公共保险状况和社会脆弱性与较差的结果有关。结论:危重疾病生存文献中探讨了各种SDE因素,其中许多因素与icu后结局相关,且效应大小不同。在了解纵向结果、SDE因素如何与结果相互作用的机制以及这些因素的复杂性和相互关联性方面仍然存在差距,所有这些都将有助于指导干预措施以改善icu后生存率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Exploring the Landscape of Social and Economic Factors in Critical Illness Survivorship: A Scoping Review.

Objectives: To explore the breadth of social, demographic, and economic (SDE) factors reported in critical illness survivorship research, with a focus on how they impact survivorship outcomes.

Data sources: We obtained articles from Medline, Embase, PsycInfo, and CINAHL, as well as reference list reviews of included articles and relevant reviews captured by searches.

Study selection: SDE factors were defined as any nonmedical factor that can influence outcomes. We included primary studies published in English that explored SDE factors as an independent variable or as an outcome in post-ICU survivorship of adults. Two authors independently assessed each study for inclusion in duplicate, and conflicts were resolved by consensus. Our searches returned 7151 records, of which 83 were included for data extraction and final review.

Data extraction: We used a standardized data collection form to extract data, focusing on the characteristics of each study (i.e., year and country of publication), SDE factors explored, how the factors were measured, the impacts of SDE factors on post-ICU survivorship outcomes, and the impacts of ICU admission on SDE outcomes.

Data synthesis: We summarized the relationships between SDE factors and ICU survivorship in table format and performed a narrative synthesis. We identified 16 unique SDE factors explored in the current literature. We found that generally, higher education, income, and socioeconomic status were associated with better outcomes post-ICU; while non-White race, public insurance status, and social vulnerability were associated with poorer outcomes.

Conclusions: Various SDE factors have been explored in the critical illness survivorship literature and many are associated with post-ICU outcomes with varying effect sizes. There remains a gap in understanding longitudinal outcomes, mechanisms of how SDE factors interact with outcomes, and of the complexity and interconnectedness of these factors, all of which will be instrumental in guiding interventions to improve post-ICU survivorship.

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来源期刊
CiteScore
5.70
自引率
0.00%
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