Is patients’ rurality associated with in-hospital sepsis death in US hospitals?
BackgroundThe focus of this study was to explore the association of patients’ rurality and other patient and hospital-related factors with in-hospital sepsis mortality to identify possible health disparities across United States hospitals.MethodsThe National Inpatient Sample was used to identify nat...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-06-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1169209/full |
| _version_ | 1797805744106504192 |
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| author | Jongwha Chang Mar Medina Sun Jung Kim Sun Jung Kim Sun Jung Kim |
| author_facet | Jongwha Chang Mar Medina Sun Jung Kim Sun Jung Kim Sun Jung Kim |
| author_sort | Jongwha Chang |
| collection | DOAJ |
| description | BackgroundThe focus of this study was to explore the association of patients’ rurality and other patient and hospital-related factors with in-hospital sepsis mortality to identify possible health disparities across United States hospitals.MethodsThe National Inpatient Sample was used to identify nationwide sepsis patients (n = 1,977,537, weighted n = 9,887,682) from 2016 to 2019. We used multivariate survey logistic regression models to identify predictors for how patients’ rurality is associated with in-hospital death.FindingsDuring the study periods, in-hospital death rates among sepsis inpatients continuously decreased (11.3% in 2016 to 9.9% in 2019) for all rurality levels. Rao-Schott Chi-Square tests demonstrated that certain patient and hospital factors had varied in-hospital death rates. Multivariate survey logistic regressions suggested that rural areas, minorities, females, older adults, low-income, and uninsured patients have higher odds of in-hospital mortality. Further, specific census divisions like New England, Middle Atlantic, and East North Central had greater in-hospital sepsis death odds.ConclusionRurality was associated with increased in-hospital sepsis death across multiple patient populations and locations. Further, rurality in New England, Middle Atlantic, and East North Central locations is exceptionally high odds. In addition, minority races in rural areas also have an increased odds of in-hospital death. Therefore, rural healthcare requires a more significant influx of resources and should also include assessing patient-related factors. |
| first_indexed | 2024-03-13T05:56:41Z |
| format | Article |
| id | doaj.art-2ef80826718545f09eff4da0ef0c22dc |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-03-13T05:56:41Z |
| publishDate | 2023-06-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-2ef80826718545f09eff4da0ef0c22dc2023-06-13T04:35:19ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-06-011110.3389/fpubh.2023.11692091169209Is patients’ rurality associated with in-hospital sepsis death in US hospitals?Jongwha Chang0Mar Medina1Sun Jung Kim2Sun Jung Kim3Sun Jung Kim4Department of Pharmaceutical Sciences, Irma Lerma Rangel School of Pharmacy, Texas A&M University, College Station, TX, United StatesSchool of Pharmacy, University of Texas at El Paso, El Paso, TX, United StatesDepartment of Health Administration and Management, College of Medical Science, Soonchunhyang University, Asan, Republic of KoreaCenter for Healthcare Management Science, Soonchunhyang University, Asan, Republic of KoreaDepartment of Software Convergence, Soonchunhyang University, Asan, Republic of KoreaBackgroundThe focus of this study was to explore the association of patients’ rurality and other patient and hospital-related factors with in-hospital sepsis mortality to identify possible health disparities across United States hospitals.MethodsThe National Inpatient Sample was used to identify nationwide sepsis patients (n = 1,977,537, weighted n = 9,887,682) from 2016 to 2019. We used multivariate survey logistic regression models to identify predictors for how patients’ rurality is associated with in-hospital death.FindingsDuring the study periods, in-hospital death rates among sepsis inpatients continuously decreased (11.3% in 2016 to 9.9% in 2019) for all rurality levels. Rao-Schott Chi-Square tests demonstrated that certain patient and hospital factors had varied in-hospital death rates. Multivariate survey logistic regressions suggested that rural areas, minorities, females, older adults, low-income, and uninsured patients have higher odds of in-hospital mortality. Further, specific census divisions like New England, Middle Atlantic, and East North Central had greater in-hospital sepsis death odds.ConclusionRurality was associated with increased in-hospital sepsis death across multiple patient populations and locations. Further, rurality in New England, Middle Atlantic, and East North Central locations is exceptionally high odds. In addition, minority races in rural areas also have an increased odds of in-hospital death. Therefore, rural healthcare requires a more significant influx of resources and should also include assessing patient-related factors.https://www.frontiersin.org/articles/10.3389/fpubh.2023.1169209/fullruralitysepsisNIS samplein-hospital deathhealth disparity |
| spellingShingle | Jongwha Chang Mar Medina Sun Jung Kim Sun Jung Kim Sun Jung Kim Is patients’ rurality associated with in-hospital sepsis death in US hospitals? Frontiers in Public Health rurality sepsis NIS sample in-hospital death health disparity |
| title | Is patients’ rurality associated with in-hospital sepsis death in US hospitals? |
| title_full | Is patients’ rurality associated with in-hospital sepsis death in US hospitals? |
| title_fullStr | Is patients’ rurality associated with in-hospital sepsis death in US hospitals? |
| title_full_unstemmed | Is patients’ rurality associated with in-hospital sepsis death in US hospitals? |
| title_short | Is patients’ rurality associated with in-hospital sepsis death in US hospitals? |
| title_sort | is patients rurality associated with in hospital sepsis death in us hospitals |
| topic | rurality sepsis NIS sample in-hospital death health disparity |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1169209/full |
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