Health Disparities in the Management and Outcomes of Critically Ill Children and Neonates: A Scoping Review

Anireddy R Reddy; Cody-Aaron Gathers; Daria C Murosko; Tyler Rainer; Maryam Y Naim; Jessica Fowler

doi:10.1016/j.ccc.2024.05.002

Health Disparities in the Management and Outcomes of Critically Ill Children and Neonates: A Scoping Review

Crit Care Clin. 2024 Oct;40(4):641-657. doi: 10.1016/j.ccc.2024.05.002. Epub 2024 Jun 22.

Authors

Anireddy R Reddy¹, Cody-Aaron Gathers², Daria C Murosko³, Tyler Rainer⁴, Maryam Y Naim⁵, Jessica Fowler⁶

Affiliations

¹ Division of Critical Care, Department of Anesthesiology and Critical Care Medicine, Children's Hospital of Philadelphia, 3401 Civic Center Boulevard, Main Hospital, Ninth Floor, Room 9NW102, Philadelphia, PA 19104, USA; Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA, USA; Department of Anesthesiology and Critical Care, The University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA. Electronic address: Reddya2@chop.edu.
² Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA, USA; Division of Critical Care, Department of Anesthesiology and Critical Care Medicine, Children's Hospital of Philadelphia, 3401 Civic Center Boulevard, Main Hospital, Ninth Floor, Suite 9NW45, Philadelphia, PA 19104, USA.
³ Division of Neonatology, Department of Pediatrics, Children's Hospital of Philadelphia, 3401 Civic Center Boulevard, 2-Main, Philadelphia, PA 19104, USA.
⁴ Division of Pediatric Emergency Medicine, Department of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA, USA; Division of Emergency Medicine, Children's Hospital of Philadelphia, 3501 Civic Center Boulevard, 2nd Floor, Philadelphia, PA 19104, USA.
⁵ Department of Anesthesiology and Critical Care, The University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA; Division of Cardiac Critical Care, Department of Anesthesiology and Critical Care Medicine, Children's Hospital of Philadelphia, 3401 Civic Center Boulevard, Main Hospital, Eighth Floor 8555, Philadelphia, PA 19104, USA.
⁶ Division of Critical Care, Department of Anesthesiology and Critical Care Medicine, Children's Hospital of Philadelphia, 3401 Civic Center Boulevard, Main Hospital, Ninth Floor, Room 9NW102, Philadelphia, PA 19104, USA; Department of Anesthesiology and Critical Care, The University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.

Abstract

To date, health disparities in critically ill children have largely been studied within, not across, specific intensive care unit (ICU) settings, thus impeding collaboration which may help advance the care of critically ill children. The aim of this scoping review is to summarize the literature intentionally designed to examine health disparities, across 3 primary ICU settings (neonatal ICU, pediatric ICU, and cardiac ICU) in the United States. We included over 50 studies which describe health disparities across race and/or ethnicity, area-level indices, insurance status, socioeconomic position, language, and distance.

Keywords: Cardiac intensive care; Health disparities; Neonatology; Pediatric critical care.

Publication types

Scoping Review

MeSH terms

Child
Child, Preschool
Critical Illness* / therapy
Healthcare Disparities*
Humans
Infant
Infant, Newborn
Intensive Care Units, Pediatric / organization & administration
United States

Grants and funding

T32 HL098054/HL/NHLBI NIH HHS/United States