Reporting of Social Determinants of Health in Pediatric Sepsis Studies*

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art_MENON_Reporting_of_Social_Determinants_of_Health_in_Pediatric_2023.PDF (756.83 KB)
Citações na Scopus
7
Tipo de produção
article
Data de publicação
2023
DOI
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
LIPPINCOTT WILLIAMS & WILKINS
Autores
MENON, Kusum R.
SORCE, Lauren
ARGENT, Andrew D.
BENNETT, Tellen D.
CARROL, Enitan
KISSOON, Niranjan
SANCHEZ-PINTO, L. Nelson J.
SCHLAPBACH, Luregn C.
WATSON, R. Scott L.
Citação
PEDIATRIC CRITICAL CARE MEDICINE, v.24, n.4, p.301-310, 2023
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
OBJECTIVE:Standardized, consistent reporting of social determinants of health (SDOH) in studies on children with sepsis would allow for: 1) understanding the association of SDOH with illness severity and outcomes, 2) comparing populations and extrapolating study results, and 3) identification of potentially modifiable socioeconomic factors for policy makers. We, therefore, sought to determine how frequently data on SDOH were reported, which factors were collected and how these factors were defined in studies of sepsis in children. DATA SOURCES AND SELECTION:We reviewed 106 articles (published between 2005 and 2020) utilized in a recent systematic review on physiologic criteria for pediatric sepsis. DATA EXTRACTION:Data were extracted by two reviewers on variables that fell within the World Health Organization's SDOH categories. DATA SYNTHESIS:SDOH were not the primary outcome in any of the included studies. Seventeen percent of articles (18/106) did not report on any SDOH, and a further 36.8% (39/106) only reported on gender/sex. Of the remaining 46.2% of articles, the most reported SDOH categories were preadmission nutritional status (35.8%, 38/106) and race/ethnicity (18.9%, 20/106). However, no two studies used the same definition of the variables reported within each of these categories. Six studies reported on socioeconomic status (3.8%, 6/106), including two from upper-middle-income and four from lower middle-income countries. Only three studies reported on parental education levels (2.8%, 3/106). No study reported on parental job security or structural conflict. CONCLUSIONS:We found overall low reporting of SDOH and marked variability in categorizations and definitions of SDOH variables. Consistent and standardized reporting of SDOH in pediatric sepsis studies is needed to understand the role these factors play in the development and severity of sepsis, to compare and extrapolate study results between settings and to implement policies aimed at improving socioeconomic conditions related to sepsis.
Palavras-chave
children, critical illness, race, sepsis, social determinants of health, socioeconomic status
URI
https://observatorio.fm.usp.br/handle/OPI/55012
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Coleções
Artigos e Materiais de Revistas Científicas - HU