Please use this identifier to cite or link to this item: http://ahro.austin.org.au/austinjspui/handle/1/20498
Title: Socioeconomic Position and Health Outcomes Following Critical Illness: A Systematic Review.
Authors: Jones, Jennifer R A;Berney, Susan C;Connolly, Bronwen;Waterland, Jamie L;Denehy, Linda;Griffith, David M;Puthucheary, Zudin A
Affiliation: Department of Physiotherapy, Austin Health, Heidelberg, Victoria, Australia
Centre for Human and Applied Physiological Sciences, King's College London, London, United Kingdom
Adult Critical Care Unit, Royal London Hospital, Barts Health NHS Trust, London, United Kingdom
Melbourne School of Health Sciences, The University of Melbourne, Parkville, VIC, Australia
NIHR Biomedical Research Centre at Guy's and St. Thomas' NHS Foundation and King's College London, London, United Kingdom
Allied Health, Peter MacCallum Cancer Centre, Melbourne, VIC, Australia
Department of Physiotherapy, The University of Melbourne, Parkville, VIC, Australia
Lane Fox Clinical Respiratory Physiology Research Centre, Guy's and St. Thomas' NHS Foundation Trust, London, United Kingdom
Anaesthesia, Critical Care and Pain Medicine, University of Edinburgh, Royal Infirmary of Edinburgh, Edinburgh, United Kingdom
William Harvey Research Institute, Barts and The London School of Medicine & Dentistry, Queen Mary University of London, London, United Kingdom
Issue Date: 27-Mar-2019
EDate: 2019-03-27
Citation: Critical care medicine 2019; online first: 27 March
Abstract: Systematically review evidence examining association between preadmission socioeconomic position and physical function, health-related quality of life and survival following critical illness. Four electronic databases (MEDLINE, Embase, CINAHL, CENTRAL) and personal libraries were searched. Reference lists of eligible articles were cross-checked. Primary quantitative studies reporting association between socioeconomic position and physical function, health-related quality of life, or survival of adults admitted to the ICU were included. Performed by two reviewers independently in duplicate using a prepiloted data extraction form. Quality appraisal was completed by two reviewers independently in duplicate using standardized algorithms and checklists. The Preferred Reporting Items for Systematic Reviews guidelines were followed. From 1,799 records, 10 studies were included, one examining association of socioeconomic position with health-related quality of life and five with survival. Four studies accounted for socioeconomic position in survival analyses. Patients with lower socioeconomic position were found to have higher ICU, in-hospital, 30-day, and long-term mortality and lower 6-month Short Form-12 Mental Component Summary scores. No articles examined socioeconomic position and performance-based physical function. Notable variability in methods of socioeconomic position assessment was observed. Lower socioeconomic position is associated with higher mortality and lower 6-month Short Form-12 Mental Component Summary scores following critical illness. Effect on performance-based physical function is unknown. We make recommendations for consistent socioeconomic position measurement in future ICU studies.
URI: http://ahro.austin.org.au/austinjspui/handle/1/20498
DOI: 10.1097/CCM.0000000000003727
PubMed URL: 30920412
Type: Journal Article
Appears in Collections:Journal articles

Files in This Item:
There are no files associated with this item.


Items in AHRO are protected by copyright, with all rights reserved, unless otherwise indicated.