ArticleHealth affairs (Project Hope)2019
Racial And Ethnic Disparities In Care Following The New York State Sepsis Initiative.
Article in Health affairs (Project Hope), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Ethnic minority status as social determinant for COVID-19 infection, hospitalisation, severity, ICU admission and deaths in the early phase of the pandemic: a meta-analysis.BMJ global health · 2021Pooled it
- 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
- Racial differences in outcomes among patients with septic shock: A national cohort study.World journal of critical care medicine · 2025Article
- Goals of Care Assessment during Hospitalization for Sepsis.Annals of the American Thoracic Society · 2025Article
- Decreased racial disparities in sepsis mortality after an order set-driven initiative: An analysis of 8151 patients.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2025Article
- Interventions to improve racial and ethnic equity in critical care: A scoping review.PloS one · 2025Article
- Hospital-Onset Sepsis Warrants Expanded Investigation and Consideration as a Unique Clinical Entity.Chest · 2024Review
- The role of place-based factors and other social determinants of health on adverse post-sepsis outcomes: a review of the literature.Frontiers in disaster and emergency medicine · 2024Article
- Proteomic changes associated with racial background and sepsis survival outcomes.Molecular omics · 2022Article
- Characteristics and Outcomes of US Patients Hospitalized With COVID-19.American journal of critical care : an official publication, American Association of Critical-Care Nurses · 2022Article
- Article
- A Roadmap for Successful State Sepsis Regulations-Lessons From New York.Critical care explorations · 2021Article
- Temporal Trends and Hospital Variation in Time-to-Antibiotics Among Veterans Hospitalized With Sepsis.JAMA network open · 2021Article
- Risk Factors for Recurrent Staphylococcus aureus Bacteremia.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021Article
- Using rising tides to lift all boats: Equity-focused quality improvement as a tool to reduce neonatal health disparities.Seminars in fetal & neonatal medicine · 2021Review
- Assessment of Racial/Ethnic Disparities in Hospitalization and Mortality in Patients With COVID-19 in New York City.JAMA network open · 2020Article
- Economic Analysis of Mandated Protocolized Sepsis Care in New York Hospitals.Critical care medicine · 2020Article
- U.S. hospital performance methodologies: a scoping review to identify opportunities for crossing the quality chasm.BMC health services research · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
After 2013, when New York State mandated that hospitals follow protocols to treat sepsis, completion of the protocols increased and mortality declined. Whether these encouraging trends have equitably benefited racial/ethnic minority populations is unknown. Although there were no significant racial/ethnic differences in rates of protocol completion at the onset of New York's Sepsis Initiative, over time white patients experienced a greater increase in protocol completion rates (14.0 percentage points) compared to black patients (5.3 percentage points). The emergence of this disparity was due to smaller performance improvements among hospitals with higher proportions of black patients, though white and black patients showed similar improvements when treated within the same hospital. Our study suggests an urgent need to understand why improvements in sepsis care lagged in hospitals in New York that care for higher proportions of minority patients. Policy makers should anticipate and monitor the effects of quality improvement initiatives on disparities to ensure that all racial/ethnic groups realize their benefits equitably.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.