Accuracy of the Sequential Organ Failure Assessment Score for In-Hospital Mortality by Race and Relevance to Crisis Standards of Care.

ABSTRACT:

Importance

Crisis Standards of Care (CSC) are guidelines for rationing health care resources during public health emergencies. The CSC adopted by US states ration intensive care unit (ICU) admission using the Sequential Organ Failure Assessment (SOFA) score, which is used to compare expected in-hospital mortality among eligible patients. However, it is unknown if Black and White patients with equivalent SOFA scores have equivalent in-hospital mortality.

Objective

To investigate whether reliance on SOFA is associated with bias against Black patients in CSC.

Design, setting, and participants

This cohort study was conducted using data from the eICU Collaborative Research Database of patients admitted to 233 US ICUs in 2014 to 2015. Included individuals were Black and Whi

SUBMITTER: Miller WD 

PROVIDER: S-EPMC8214156 | biostudies-literature | 2021 Jun

REPOSITORIES: biostudies-literature