ArticleThe Lancet regional health. Europe2021
Influence of socioeconomic deprivation on interventions and outcomes for patients admitted with COVID-19 to critical care units in Scotland: A national cohort study.
Article in The Lancet regional health. Europe, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 1 of them a synthesis that pooled it.
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Who cites it
45 citing papers in PubMed, 1 synthesis or guideline pooled it, 90 citations in OpenAlex.
- Rehabilitation and Social Determinants of Health in Critical Illness Recovery Literature: A Systematic Review.Critical care explorations · 2024Pooled it
- Human Development Index and outcomes in older critically ill patients: A European multicentre study.Annals of intensive care · 2026Article
- Sociodemographic factors that influence COVID-19 healthcare utilization and costs in Alberta, Canada: a population-based study using the Alberta COVID-19 analytics and research database.Frontiers in health services · 2026Article
- Socioeconomic status and ECMO outcomes in severe ARDS.Annals of intensive care · 2026Article
- Impact of socioeconomic status and country of origin on COVID-19 outcomes in Swedish ICUs: a retrospective registry-based cohort study.BMJ open · 2025Article
- Association between socio-economic status and outcomes among critically ill Covid-19 adult patients in France.Annals of intensive care · 2025Article
- Long-term spatial patterns in COVID-19 booster vaccine uptake.Communications medicine · 2025Article
- Improving Outcomes in Survivors of Sepsis-The Transition from Secondary to Primary Care, and the Role of Primary Care: A Narrative Review.Journal of clinical medicine · 2025Review
- Causal effects of education, intelligence, and income on COVID-19: evidence from a Mendelian randomization study.Human genomics · 2025Article
- SARS-CoV-2 introductions to the island of Ireland: a phylogenetic and geospatiotemporal study of infection dynamics.Genome medicine · 2024Article
- Looking to "Level the Field": A Qualitative Study of How Clinicians Operationalize Social Determinants in Critical Care.Annals of the American Thoracic Society · 2024Article
- EPidemiology Of Cardiogenic sHock in Scotland (EPOCHS): A multicentre, prospective observational study of the prevalence, management and outcomes of cardiogenic shock in Scotland.Journal of the Intensive Care Society · 2024Article
- Association of socioeconomic deprivation with outcomes in critically ill adult patients: an observational prospective multicenter cohort study.Annals of intensive care · 2024Article
- Equity in patient care in the intensive care unit.Intensive care medicine · 2024Article
- An early warning precision public health approach for assessing COVID-19 vulnerability in the UK: the Moore-Hill Vulnerability Index (MHVI).BMC public health · 2023Article
- Assessing the importance of demographic risk factors across two waves of SARS-CoV-2 using fine-scale case data.PLoS computational biology · 2023Article
- Scottish Index of Multiple Deprivation (SIMD) indicators as predictors of mortality among patients hospitalised with COVID-19 disease in the Lothian Region, Scotland during the first wave: a cohort study.International journal for equity in health · 2023Article
- Influence of socio-economic status on functional recovery after ARDS caused by SARS-CoV-2: the multicentre, observational RECOVIDS study.Intensive care medicine · 2023Article
- Use of protracted CPAP as supportive treatment for COVID-19 pneumonitis and associated outcomes: a national cohort study.British journal of anaesthesia · 2023Article
- Clinician perceptions of the impact of ICU family visiting restrictions during the COVID-19 pandemic: an international investigation.Critical care (London, England) · 2023Article
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Authors and funding
15 authors at 6 institutions in 1 country.
Funding
Abstract
backgroundCoronavirus disease 2019 (COVID-19) can lead to significant respiratory failure with between 14% and 18% of hospitalised patients requiring critical care admission. This study describes the impact of socioeconomic deprivation on 30-day survival following critical care admission for COVID-19, and the impact of the COVID-19 pandemic on critical care capacity in Scotland.
methodsThis cohort study used linked national hospital records including ICU, virology testing and national death records to identify and describe patients with COVID-19 admitted to critical care units in Scotland. Multivariable logistic regression was used to assess the impact of deprivation on 30-day mortality. Critical care capacity was described by reporting the percentage of baseline ICU bed utilisation required.
findingsThere were 735 patients with COVID-19 admitted to critical care units across Scotland from 1/3/2020 to 20/6/2020. There was a higher proportion of patients from more deprived areas, with 183 admissions (24.9%) from the most deprived quintile and 100 (13.6%) from the least deprived quintile. Overall, 30-day mortality was 34.8%. After adjusting for age, sex and ethnicity, mortality was significantly higher in patients from the most deprived quintile (OR 1.97, 95%CI 1.13, 3.41,
interpretationPatients with COVID-19 living in areas with greatest socioeconomic deprivation had a higher frequency of critical care admission and a higher adjusted 30-day mortality. ICUs in health boards with higher levels of socioeconomic deprivation had both higher peak occupancy and longer duration of occupancy over normal maximum capacity.
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