Incidence and outcomes of critical illness in Indigenous Peoples: a systematic review protocol
Abstract Background Indigenous Peoples experience health inequities across the continuum of health services. Improvements for Indigenous patients and their families during vulnerable experiences with the healthcare system may have a significant impact on the patient experience and outcomes. Improved...
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| Format: | Article |
| Language: | English |
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BMC
2022-04-01
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| Series: | Systematic Reviews |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13643-022-01948-x |
| _version_ | 1828405965825769472 |
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| author | Samantha L. Bowker Kienan Williams Aireen Wingert Jamie M. Boyd Melissa L. Potestio Michelle Gates Erica Wright Sean M. Bagshaw |
| author_facet | Samantha L. Bowker Kienan Williams Aireen Wingert Jamie M. Boyd Melissa L. Potestio Michelle Gates Erica Wright Sean M. Bagshaw |
| author_sort | Samantha L. Bowker |
| collection | DOAJ |
| description | Abstract Background Indigenous Peoples experience health inequities across the continuum of health services. Improvements for Indigenous patients and their families during vulnerable experiences with the healthcare system may have a significant impact on the patient experience and outcomes. Improved understanding of the occurrence of critical illness in Indigenous Peoples and their use of critical care services, as a strategic priority, may aid in the development of initiatives for improving health equity. A global focus was selected to learn from Indigenous populations’ experiences with critical care, as the understanding of critical illness among Indigenous Peoples in Canada is not well understood. This protocol outlines a systematic review focused on describing the incidence of critical illness and utilization of critical care services among Indigenous Peoples. Methods Ovid MEDLINE/PubMed, Ovid EMBASE, Google Scholar, and Cochrane Central Register of Controlled Trials will be searched. Relevant Canadian sites for gray literature (National Collaborating Centre for Indigenous Health, First Nations Health Authority, Canadian Institutes of Health Research Institute of Indigenous Peoples’ Health, National Association of Friendship Centres, the Alberta First Nations Information Governance Centre, Métis Nation of Alberta) will also be searched. We will include studies of adults (≥18 years) either without critical illness (i.e., general population) or with critical illness (i.e., admitted to an intensive care unit (ICU)). The exposure of interest will be Indigenous identity. Primary outcome measures are ICU admission and ICU mortality. Because heterogeneity in populations, comparisons, and outcome measures is anticipated, it is likely that the findings will be summarized using a narrative synthesis. A meta-analysis will be performed if there is sufficient evidence on one or more outcomes of interest. Discussion This systematic review will provide a better understanding of the epidemiology, risk factors, and outcomes of critical illness and utilization of critical care services among Indigenous Peoples. The knowledge generated will be applied to a broader program of work designed to create ethical space to co-design, implement, and evaluate a culturally competent, safe, and innovative model for critical care services for Indigenous People. Systematic review registration PROSPERO CRD42021254661 |
| first_indexed | 2024-12-10T11:02:57Z |
| format | Article |
| id | doaj.art-d3547a9d034442208809bd3ff4ddf37e |
| institution | Directory Open Access Journal |
| issn | 2046-4053 |
| language | English |
| last_indexed | 2024-12-10T11:02:57Z |
| publishDate | 2022-04-01 |
| publisher | BMC |
| record_format | Article |
| series | Systematic Reviews |
| spelling | doaj.art-d3547a9d034442208809bd3ff4ddf37e2022-12-22T01:51:38ZengBMCSystematic Reviews2046-40532022-04-011111610.1186/s13643-022-01948-xIncidence and outcomes of critical illness in Indigenous Peoples: a systematic review protocolSamantha L. Bowker0Kienan Williams1Aireen Wingert2Jamie M. Boyd3Melissa L. Potestio4Michelle Gates5Erica Wright6Sean M. Bagshaw7Critical Care Strategic Clinical Network™, Alberta Health ServicesIndigenous Wellness Core™, Alberta Health ServicesAlberta Research Centre for Health Evidence, University of AlbertaIndigenous Wellness Core™, Alberta Health ServicesIndigenous Wellness Core™, Alberta Health ServicesAlberta Research Centre for Health Evidence, University of AlbertaAlberta Research Centre for Health Evidence, University of AlbertaCritical Care Strategic Clinical Network™, Alberta Health ServicesAbstract Background Indigenous Peoples experience health inequities across the continuum of health services. Improvements for Indigenous patients and their families during vulnerable experiences with the healthcare system may have a significant impact on the patient experience and outcomes. Improved understanding of the occurrence of critical illness in Indigenous Peoples and their use of critical care services, as a strategic priority, may aid in the development of initiatives for improving health equity. A global focus was selected to learn from Indigenous populations’ experiences with critical care, as the understanding of critical illness among Indigenous Peoples in Canada is not well understood. This protocol outlines a systematic review focused on describing the incidence of critical illness and utilization of critical care services among Indigenous Peoples. Methods Ovid MEDLINE/PubMed, Ovid EMBASE, Google Scholar, and Cochrane Central Register of Controlled Trials will be searched. Relevant Canadian sites for gray literature (National Collaborating Centre for Indigenous Health, First Nations Health Authority, Canadian Institutes of Health Research Institute of Indigenous Peoples’ Health, National Association of Friendship Centres, the Alberta First Nations Information Governance Centre, Métis Nation of Alberta) will also be searched. We will include studies of adults (≥18 years) either without critical illness (i.e., general population) or with critical illness (i.e., admitted to an intensive care unit (ICU)). The exposure of interest will be Indigenous identity. Primary outcome measures are ICU admission and ICU mortality. Because heterogeneity in populations, comparisons, and outcome measures is anticipated, it is likely that the findings will be summarized using a narrative synthesis. A meta-analysis will be performed if there is sufficient evidence on one or more outcomes of interest. Discussion This systematic review will provide a better understanding of the epidemiology, risk factors, and outcomes of critical illness and utilization of critical care services among Indigenous Peoples. The knowledge generated will be applied to a broader program of work designed to create ethical space to co-design, implement, and evaluate a culturally competent, safe, and innovative model for critical care services for Indigenous People. Systematic review registration PROSPERO CRD42021254661https://doi.org/10.1186/s13643-022-01948-xIndigenous PeopleCritical illnessCritical careHealth outcomesEpidemiology |
| spellingShingle | Samantha L. Bowker Kienan Williams Aireen Wingert Jamie M. Boyd Melissa L. Potestio Michelle Gates Erica Wright Sean M. Bagshaw Incidence and outcomes of critical illness in Indigenous Peoples: a systematic review protocol Systematic Reviews Indigenous People Critical illness Critical care Health outcomes Epidemiology |
| title | Incidence and outcomes of critical illness in Indigenous Peoples: a systematic review protocol |
| title_full | Incidence and outcomes of critical illness in Indigenous Peoples: a systematic review protocol |
| title_fullStr | Incidence and outcomes of critical illness in Indigenous Peoples: a systematic review protocol |
| title_full_unstemmed | Incidence and outcomes of critical illness in Indigenous Peoples: a systematic review protocol |
| title_short | Incidence and outcomes of critical illness in Indigenous Peoples: a systematic review protocol |
| title_sort | incidence and outcomes of critical illness in indigenous peoples a systematic review protocol |
| topic | Indigenous People Critical illness Critical care Health outcomes Epidemiology |
| url | https://doi.org/10.1186/s13643-022-01948-x |
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