Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Insurance type and sepsis-associated hospitalizations and sepsis-associated mortality among US adults: A retrospective cohort study. | O Brien et al. Critical Care 2011 15 R130 http content 15 3 R130 KS CRITICAL CARE RESEARCH Open Access Insurance type and sepsis-associated hospitalizations and sepsis-associated mortality among US adults A retrospective cohort study 1 2 1 1 2 James M O Brien Jr Bo Lu Naeem A Ali Deborah A Levine Scott K Aberegg and Stanley Lemeshow Abstract Introduction Socio-demographic and clinical factors associated with increased sepsis risk including older age non-white race and specific co-morbidities are more common among patients with Medicare or Medicaid or no health insurance. We hypothesized that patients with Medicare and or Medicaid or without health insurance have a higher risk of sepsis-associated hospitalization or sepsis-associated death than those with private health insurance. Methods We performed a retrospective cohort study of records from the 2003 Nationwide Inpatient Sample. We stratified the study cohort by Medicare age-qualification 18 to 64 and 65 years old . We examined the association between insurance category and sepsis diagnosis and death among admissions involving sepsis. We used validated diagnostic codes to determine the presence of sepsis co-morbidities and organ dysfunction and to provide riskadjustment. Results Among patients 18 to 64 years old those with Medicaid adjusted odds ratio AOR Medicare AOR Medicaid Medicare AOR and the uninsured AOR had significantly higher risk-adjusted odds of a sepsis-associated admission than those with private insurance all P . Those with Medicaid AOR P and those without insurance AOR P also had significantly higher adjusted odds of sepsis-associated hospital mortality than those with private insurance. Among those 65 years old those with Medicaid AOR Medicare alone AOR or Medicaid Medicare AOR had significantly higher risk-adjusted odds of sepsis-associated admission than those with private insurance and Medicare all P . .
