Please use this identifier to cite or link to this item: https://hdl.handle.net/10137/7756
Email LibraryRMU.DOH@nt.gov.au to ask for this document in a different format
Title: Aboriginal and Torres Strait Islander patients requiring critical care: characteristics, resource use, and outcomes.
Authors: Secombe, Paul
Brown, Alex
McAnulty, Greg
Pilcher, David
Citation: Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine 2019-09; 21(3): 200-211
Abstract: To provide a contemporary description of the demographics, characteristics and outcomes of critically ill Indigenous patients in Australia. Retrospective database review using the Australian and New Zealand Intensive Care Society Adult Patient Database for intensive care unit (ICU) admissions in 2017-18. Characteristics of critically ill Indigenous patients were compared with non-Indigenous patients. Primary outcome was hospital mortality. Secondary outcomes examined demographics and resource use. Per capita, Indigenous Australians were overrepresented in the intensive care. They were younger (51 v 66 years), more likely to be admitted from outer regional, rural and remote settings (59% v 15%), more likely to require emergency admission (81% v 59%), and had higher rates of mechanical ventilation (35% v 32%; P < 0.01 for all). Indigenous patients were over-represented in the diagnostic categories of sepsis (15% v 9%), trauma (7% v 5%), and respiratory illness (17% v 15%), and had higher rates of ICU re-admission (7% v 5%; P < 0.01 for all). There was no difference in either unadjusted (7.9% for each; P = 0.96) or adjusted (odds ratio, 1.1; 95% CI, 1.0-1.2) in-hospital mortality. Indigenous patients, especially young Indigenous patients, were disproportionately represented in Australian ICUs, particularly for sepsis. The high level of acute illness and high proportion of emergency admissions could be interpreted as representing delayed presentation, which, with a higher re-admission rate, suggest access barriers to health care may exist. Nevertheless, there was no mortality gap between Indigenous and non-Indigenous Australians during a hospital admission for critical illness.
Click to open PubMed article: https://www.ezpdhcs.nt.gov.au/login?url=https://www.ncbi.nlm.nih.gov/pubmed/31462207
Journal title: Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine
Publication Date: 2019-09
ISSN: 1441-2772
Type: Journal Article
URI: https://hdl.handle.net/10137/7756
Appears in Collections:(a) NT Health Research Collection

Files in This Item:
There are no files associated with this item.


Items in ePublications are protected by copyright, with all rights reserved, unless otherwise indicated.