Update and Review of Racial Disparities in Sepsis
Update and Review of Racial Disparities in Sepsis
复制标题
DOI：
10.1089/sur.2012.124
复制
发表时间：
2012-08-01
影响因子：
2
通讯作者：
Vogel, Todd R.
中科院分区：
文献类型：
--
作者：
Vogel, Todd R.
背景：脓毒症是由侵袭性感染激活的过度全身炎症反应。有大量流行病学文献讨论了人口统计学因素（如性别和种族）在脓毒症中的感知差异。也有关于环境和社会经济因素的败血症的差异的多个检查。本文回顾了目前的流行病学文献评估与发展的败血症及其相关outcomes.Methods：审查相关的英语literature.Results：种族是一个标记的贫困，预先存在的条件，增加非稳态负荷，并减少获得卫生系统。种族差异和脓毒症的发病率可能是由多种环境因素，没有捕获的administrative data.Conclusion：种族是一个代理许多无形的因素，导致发展的脓毒症和低劣的结果。
Background: Sepsis is an excessive systemic inflammatory response activated by invasive infection. There has been substantial epidemiologic literature addressing perceived disparities in sepsis by demographic factors such as gender and race. There also have been multiple examinations of the disparities of sepsis with regard to environmental and socioeconomic factors. This paper reviews the current epidemiologic literature evaluating the association of race with the development of sepsis and its associated outcomes.Methods: Review of pertinent English-language literature.Results: Race is a marker of poverty, preexisting conditions, increased allostatic loads, and decreased access to health systems. Racial disparities and the incidence of sepsis likely are explained by a multiplicity of environmental factors that are not captured by administrative data.Conclusion: Race is a surrogate for many intangible factors that lead to the development of sepsis and inferior outcomes.