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Epidemiology, Characteristics, and Outcomes of ICU-Managed Homeless Patients: A Population-Based Study
Author
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-11, 11 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-03-27
Country of Publication
Egypt
No. of Pages
11
Main Subjects
Abstract EN
Background.
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.
Methods.
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.
Results.
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.
Conclusions.
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.
American Psychological Association (APA)
Oud, Lavi. 2018. Epidemiology, Characteristics, and Outcomes of ICU-Managed Homeless Patients: A Population-Based Study. BioMed Research International،Vol. 2018, no. 2018, pp.1-11.
https://search.emarefa.net/detail/BIM-1126174
Modern Language Association (MLA)
Oud, Lavi. Epidemiology, Characteristics, and Outcomes of ICU-Managed Homeless Patients: A Population-Based Study. BioMed Research International No. 2018 (2018), pp.1-11.
https://search.emarefa.net/detail/BIM-1126174
American Medical Association (AMA)
Oud, Lavi. Epidemiology, Characteristics, and Outcomes of ICU-Managed Homeless Patients: A Population-Based Study. BioMed Research International. 2018. Vol. 2018, no. 2018, pp.1-11.
https://search.emarefa.net/detail/BIM-1126174
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1126174