Has the income of the residential area impact on the use of intensive care?
Background The socioeconomic factors have an impact on case mix and outcome in critical illness, but how these factors affect the use of intensive care is not studied. The aim of this study was to evaluate the incidence of intensive care unit (ICU) admissions in patients from residential areas with...
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crwiley:10.1111/aas.12933 2024-06-02T08:12:02+00:00 Has the income of the residential area impact on the use of intensive care? Liisanantti, J. H. Käkelä, R. Raatiniemi, L. V. Ohtonen, P. Hietanen, S. Ala‐Kokko, T. I. 2017 http://dx.doi.org/10.1111/aas.12933 https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1111%2Faas.12933 https://onlinelibrary.wiley.com/doi/pdf/10.1111/aas.12933 en eng Wiley http://onlinelibrary.wiley.com/termsAndConditions#vor Acta Anaesthesiologica Scandinavica volume 61, issue 7, page 804-812 ISSN 0001-5172 1399-6576 journal-article 2017 crwiley https://doi.org/10.1111/aas.12933 2024-05-03T10:56:34Z Background The socioeconomic factors have an impact on case mix and outcome in critical illness, but how these factors affect the use of intensive care is not studied. The aim of this study was to evaluate the incidence of intensive care unit (ICU) admissions in patients from residential areas with different annual incomes. Methods Single‐center, retrospective study in Northern Finland. All the non–trauma‐related emergency admissions from the hospital district area were included. The postal codes were used to categorize the residential areas according to each area's annual median income: the low‐income area, €18,979 to €28,841 per year; the middle‐income area, €28,879 to €33,856 per year; and the high‐income area, €34,221 to €53,864 per year. Results A total of 735 non–trauma‐related admissions were included. The unemployment or retirement, psychiatric comorbidities and chronic alcohol abuse were common in this population. The highest incidence, 5.5 (4.6–6.7)/1000/year, was in population aged more than 65 years living in high‐income areas. In working‐aged population, the incidence was lowest in high‐income areas (1.5 (1.3–1.8/1000/year) compared to middle‐income areas (2.2 (1.9–2.6)/1000/year, P = 0.001) and low‐income areas (2.0 (1.7–2.4)/1000/, P = 0.009). Poisonings were more common in low‐income areas. There were no differences in outcome. Conclusion The incidence of ICU admission in working‐aged population was 25% higher in those areas where the annual median income was below the median annual income of €38,775 per inhabitant per year in Finland. Article in Journal/Newspaper Northern Finland Wiley Online Library Acta Anaesthesiologica Scandinavica 61 7 804 812 |
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Background The socioeconomic factors have an impact on case mix and outcome in critical illness, but how these factors affect the use of intensive care is not studied. The aim of this study was to evaluate the incidence of intensive care unit (ICU) admissions in patients from residential areas with different annual incomes. Methods Single‐center, retrospective study in Northern Finland. All the non–trauma‐related emergency admissions from the hospital district area were included. The postal codes were used to categorize the residential areas according to each area's annual median income: the low‐income area, €18,979 to €28,841 per year; the middle‐income area, €28,879 to €33,856 per year; and the high‐income area, €34,221 to €53,864 per year. Results A total of 735 non–trauma‐related admissions were included. The unemployment or retirement, psychiatric comorbidities and chronic alcohol abuse were common in this population. The highest incidence, 5.5 (4.6–6.7)/1000/year, was in population aged more than 65 years living in high‐income areas. In working‐aged population, the incidence was lowest in high‐income areas (1.5 (1.3–1.8/1000/year) compared to middle‐income areas (2.2 (1.9–2.6)/1000/year, P = 0.001) and low‐income areas (2.0 (1.7–2.4)/1000/, P = 0.009). Poisonings were more common in low‐income areas. There were no differences in outcome. Conclusion The incidence of ICU admission in working‐aged population was 25% higher in those areas where the annual median income was below the median annual income of €38,775 per inhabitant per year in Finland. |
format |
Article in Journal/Newspaper |
author |
Liisanantti, J. H. Käkelä, R. Raatiniemi, L. V. Ohtonen, P. Hietanen, S. Ala‐Kokko, T. I. |
spellingShingle |
Liisanantti, J. H. Käkelä, R. Raatiniemi, L. V. Ohtonen, P. Hietanen, S. Ala‐Kokko, T. I. Has the income of the residential area impact on the use of intensive care? |
author_facet |
Liisanantti, J. H. Käkelä, R. Raatiniemi, L. V. Ohtonen, P. Hietanen, S. Ala‐Kokko, T. I. |
author_sort |
Liisanantti, J. H. |
title |
Has the income of the residential area impact on the use of intensive care? |
title_short |
Has the income of the residential area impact on the use of intensive care? |
title_full |
Has the income of the residential area impact on the use of intensive care? |
title_fullStr |
Has the income of the residential area impact on the use of intensive care? |
title_full_unstemmed |
Has the income of the residential area impact on the use of intensive care? |
title_sort |
has the income of the residential area impact on the use of intensive care? |
publisher |
Wiley |
publishDate |
2017 |
url |
http://dx.doi.org/10.1111/aas.12933 https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1111%2Faas.12933 https://onlinelibrary.wiley.com/doi/pdf/10.1111/aas.12933 |
genre |
Northern Finland |
genre_facet |
Northern Finland |
op_source |
Acta Anaesthesiologica Scandinavica volume 61, issue 7, page 804-812 ISSN 0001-5172 1399-6576 |
op_rights |
http://onlinelibrary.wiley.com/termsAndConditions#vor |
op_doi |
https://doi.org/10.1111/aas.12933 |
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Acta Anaesthesiologica Scandinavica |
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61 |
container_issue |
7 |
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804 |
op_container_end_page |
812 |
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