ArticleJournal of critical care2018
The effect of community socioeconomic status on sepsis-attributable mortality.
Article in Journal of critical care, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Rapid systematic review on risks and outcomes of sepsis: the influence of risk factors associated with health inequalities.International journal for equity in health · 2024Pooled it
- Association Between Community-Level Social Determinants of Health and Sepsis Incidence and Mortality: A Scoping Review.Critical care explorations · 2026Article
- Socioeconomic disparities and mortality among acute patients with sepsis: a retrospective Danish cohort study.BMJ open · 2026Article
- Mitigating Bias in Machine Learning Models with Ethics-Based Initiatives: The Case of Sepsis.The American journal of bioethics : AJOB · 2026Article
- A Research Agenda to Mitigate Racial and Ethnic Disparities in U.S. Critical Care Medicine: An Official American Thoracic Society Research Statement.American journal of respiratory and critical care medicine · 2025Article
- Enhancing Sepsis prognosis: Integrating social determinants and demographic variables into a comprehensive model for critically ill patients.Journal of critical care · 2024Article
- Lack of racial and ethnic disparities in mortality in minority patients hospitalised with COVID-19 in a mid-Atlantic healthcare system.BMJ open respiratory research · 2024Article
- Article
- Limited English Proficiency and Sepsis Mortality by Race and Ethnicity.JAMA network open · 2024Article
- Racial disparities in septic shock mortality: a retrospective cohort study.Lancet regional health. Americas · 2024Article
- Associations of educational attainment with Sepsis mediated by metabolism traits and smoking: a Mendelian randomization study.Frontiers in public health · 2024Article
- Neighborhood socioeconomic deprivation, healthcare access, and 30-day mortality and readmission after sepsis or critical illness: findings from a nationwide study.Critical care (London, England) · 2023Article
- Distressed Communities Index Is Not Associated with Mortality for Critically Ill Surgical Patients with Sepsis.Surgical infections · 2023Article
- Investigating Racial and Socioeconomic Characteristics in Pediatric Sepsis Using Electronic Health Data.Hospital pediatrics · 2023Article
- Hyperlactatemia and altered lactate kinetics are associated with excess mortality in sepsis : A multicenter retrospective observational study.Wiener klinische Wochenschrift · 2023Observational
- Characterizing Equity of Intensive Care Unit Admissions for Sepsis and Acute Respiratory Failure.Annals of the American Thoracic Society · 2022Article
- Home-to-hospital distance and outcomes among community-acquired sepsis hospitalizations.Annals of epidemiology · 2022Article
- Disparities Associated with Sepsis Mortality in Critically Ill Children.Journal of pediatric intensive care · 2022Article
- Analyzing Relationships Between Economic and Neighborhood-Related Social Determinants of Health and Intensive Care Unit Length of Stay for Critically Ill Children With Medical Complexity Presenting With Severe Sepsis.Frontiers in public health · 2022Observational
- Association of Health Insurance Status with Outcomes of Sepsis in Adult Patients: A Retrospective Cohort Study.International journal of environmental research and public health · 2021Article
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8 authors.
Funding
Abstract
purposeCommunity factors may play a role in determining individual risk for sepsis, as well as sepsis-related morbidity and mortality. We sought to define the relationship between community socioeconomic status and mortality due to sepsis in an urban locale.
methodsUsing community statistical areas of Baltimore City, we dichotomized neighborhoods at median household income, and compared distribution of outcomes of interest within the two income categories. We performed multivariable regression analyses to determine the relationship between socioeconomic variables and sepsis-attributable mortality.
resultsThe collective median household income was $38,660 (IQR $32,530, 54,480), family poverty rate was 28.4% (IQR 13.5, 38.8%), and rate of death from sepsis was 3.1 per 10,000 persons (IQR 2.60, 4.10). Lower household income communities demonstrated higher rates of death from sepsis (3.65 (IQR 2.78, 4.40)) than higher household income communities (2.80 (IQR 2.05, 3.55)) (p = .02). In regression models, household income (β = -8.42, p = .006) and percentage of poverty in communities (β = 2.71, p = .01) demonstrated associations with sepsis-attributable mortality. DISCUSSION: Our findings suggest that socioeconomic variables play significant role in sepsis-attributable mortality. Such confirmation of regional disparities in mortality due to sepsis warrants further consideration, as well as integration, for future national sepsis policies.
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