M?ori health outcomes in an intensive care unit in Aotearoa New Zealand

نویسندگان

چکیده

M?ori are the indigenous people of New Zealand, and suffer disparate health outcomes compared to non-M?ori. Waikato District Health Board provides level III intensive care unit services Zealand’s Midland region. In 2016, our institution formalised a corporate strategy eliminate inequities for M?ori. Our study aimed describe in identify inequities. We performed retrospective audit prospectively entered data Australian Zealand Intensive Care Society database all general admissions over 15 years age Hospital from 2014 2018 ( n = 3009). Primary were in–intensive in-hospital mortality. The secondary outcome was one-year study, over-represented relative population. Compared non-M?ori, patients younger (51 versus 61 years, P < 0.001), more likely reside outside region (37.2% 28.0%, 0.001) areas higher deprivation 0.001). had admission rates trauma sepsis 0.001 overall) required renal replacement therapy There no difference crude adjusted mortality (16.8% 16.5%, 0.853; odds ratio 0.98 (95% confidence interval 0.68 1.40)) or (23.7% 25.7%, 0.269; 0.84 0.60 1.18)). One-year similar (26.1% 27.1%, P=0.6823). found significant ethnic inequity M?ori, who require admissions, especially sepsis. These findings suggest upstream factors increasing risk critical illness. outcomes.

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ژورنال

عنوان ژورنال: Anaesthesia and Intensive Care

سال: 2021

ISSN: ['1448-0271', '0310-057X']

DOI: https://doi.org/10.1177/0310057x21989715