SHM Converge Scientific Abstract ePoster Gallery-Racial Disparities in Spetic Shock Outcomes

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This retrospective study examined racial disparities in septic shock outcomes using the U.S. National Inpatient Sample (NIS) from 2016–2020, including 2,789,890 patients. The cohort was predominantly White (67.5%), followed by Black (14.4%), Hispanic (10.9%), Asian/Pacific Islander (3.3%), and Native American (0.8%); most patients were around 70 years old.<br /><br />After adjusting for confounders, non-White patients generally had worse outcomes than White patients. Mortality odds were higher for Black, Hispanic, Asian/Pacific Islander, and Native American patients. Minority groups also had increased use of vasopressors, mechanical ventilation, hemodialysis, and blood transfusions, along with higher rates of complications such as acute kidney injury, myocardial infarction, ARDS, cardiac arrest, and acute liver failure. In addition, several non-White groups had longer hospital stays and higher inflation-adjusted hospital charges. Palliative care consultation was used less often in many minority groups.<br /><br />The study concludes that racial disparities in septic shock remain substantial and multifactorial, reflecting broader healthcare inequities. It calls for equitable interventions, larger uniform studies, and deeper research into the underlying causes of these differences. Limitations include reliance on ICD-10 administrative coding, lack of detailed clinical severity data, and limited patient-level information in the NIS database.

Asset Subtitle

Claudia N. Aragon Flores

Meta Tag

Author List Abu B. Sheikh, Claudia N. Aragon Flores, Mohammed A. Quazi, Ulises Rodriguez Medina

Category Research

Concept Racial Disparity

Concept Ethnic Disparity

Concept Mortality

Concept Septic Shock

Concept Adjusted Odds Ratio

Distinguished Non-Finalist

Presenter Organization University of New Mexico

Presenting Author Claudia N. Aragon Flores

Track Outcomes Research

Keywords

septic shock

racial disparities

mortality

National Inpatient Sample

healthcare inequities

minority patients

vasopressors

mechanical ventilation

acute kidney injury

palliative care

Racial Disparity

Ethnic Disparity

Mortality

Septic Shock

Adjusted Odds Ratio