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Table 2 ICU Management and Clinical Outcomes

From: Association of socioeconomic deprivation with outcomes in critically ill adult patients: an observational prospective multicenter cohort study

Characteristics

Patients No/total No (%)

P value

All patients, n = 1748

Socioeconomic phenotypes

A, n = 958

B, n = 273

C, n = 117

D, n = 307

E, n = 93

Supportive care

 Use of NIPPV

297/1748 (17)

156/958 (16.3)

50/273 (18.3)

32/117 (27.4)

48/307 (15.6)

11/93 (11.8)

0.02

 Use of HFNO

141/1748 (8.1)

75/958 (7.8)

21/273 (7.7)

15/117 (12.8)

24/307 (7.8)

6/93 (6.5)

0.40

 Use of invasive ventilation

530/1748 (30.3)

295/957 (30.8)

85/273 (31.3)

20/117 (17.1)

97/307 (31.6)

33/93 (35.5)

0.02

 Duration of invasive ventilation, median [IQR], d

3 [1–7]

3 [1–7]

3 [1–6]

2 [1–9.5]

2 [1–6]

2 [1 2]

0.02

 Use of vasopressors

424/1745 (24.3)

264/957 (27.6)

69/272 (25.4)

19/117 (16.2)

52/307 (16.9)

20/93 (21.5)

 < 0.001

 Need for RRT

149/1747 (8.5)

91/957 (9.5)

22/273 (8.1)

9/117 (7.7)

16/307 (5.2)

11/93 (11.8)

0.14

 Need for ECLS

32/1746 (1.8)

24/958 (2.5)

1/272 (0.4)

0 (0)

4/306 (1.3)

3/93 (3.2)

0.05

Diagnosis at ICU discharge

 Communicable maternal neonatal and nutritional diseases

279/1656 (16.8)

151/904 (16.7)

45/255 (17.6)

14/111 (12.6)

47/294 (16)

22/91 (24.2)

0.11

 Non-communicable diseases

1007/1656 (60.8)

197/904 (21.8)

47/255 (18.4)

27/111 (24.3)

72/294 (24.5)

27/91 (29.7)

 Injuries

370/1656 (22.3)

557/904 (61.5)

163/255 (63.9)

70/111 (63.1)

175/294 (59.5)

42/91 (46.2)

Outcomes

 Decision of WLST

240/1746 (13.7)

155/957 (16.2)

40/273 (14.7)

14/117 (12)

26/307 (8.5)

5/93 (5.4)

 < 0.001

 Time from ICU admission to WLST, median [IQR], d

3 [1–6]

3 [1–7]

3 [1–6]

2 [1–9.5]

2 [1–6]

2 [1 2]

0.37

 ICU length of stay, median [IQR], d

4 [3–7]

4 [3–8]

4 [3–7]

5 [3–7]

4 [3–7]

3 [2–5]

 < 0.001

 Hospital length of stay, median [IQR], d

9 [4–18]

9.5 [4–18]

11 [5–19]

9 [4–21]

8 [4–19]

6 [3–12]

 < 0.001

Destination at hospital discharge

       

 Home

923/1463 (63.1)

479/787 (60.9)

139/220 (63.2)

65/109 (59.6)

178/268 (66.4)

62/79 (78.5)

0.003

 Other acute care hospital

360/1463 (24.6)

192/787 (24.4)

51/220 (23.2)

29/109 (26.6)

73/268 (27.2)

15/79 (19)

 Sub-acute care and rehabilitation facility

159/1463 (10.9)

109/787 (13.9)

24/220 (10.9)

9/109 (8.3)

15/268 (5.6)

2/79 (2.5)

 Long-term care facility

21/1463 (1.4)

7/787 (0.9)

6/220 (2.7)

6/109 (5.5)

2/268 (0.7)

0/79 (0)

Mortality

       

 In ICU

222/1748 (12.7)

142/958 (14.8)

37/273 (13.6)

6/117 (5.1)

27/307 (8.8)

10/93 (10.8)

0.002

 In hospital

274/1748 (15.7)

169/958 (17.6)

49/273 (17.9)

8/117 (6.8)

34/307 (11.1)

14/93 (15.1)

0.001

 At day 180

404/1748 (23.1)

250/958 (26.1)

72/273 (26.4)

16/117 (13.7)

48/307 (15.6)

18/93 (19.4)

0.003

  1. d days; ECLS extra corporeal life support; HFNO high flow nasal oxygen; ICU intensive care unit; IQR interquartile range; NIPPV non-invasive positive pressure ventilation; RRT renal replacement therapy; WLST withdrawal or withholding of life sustaining therapies